Behavioral
Pinnacle Behavioral Health Ipa PLLC
Pinnacle Behavioral Health Ipa PLLC was paid $877K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoPINNACLE BEHAVIORAL HEALTH IPA PLLC
ALBANY, NY 12203
ALBANY, NY 12203
33aNPI1447276720assigned 07/13/2006
33bProvider typeMental Health Counselor
28Total paid$877K
24GClaims15,057
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Mental Health Counselor providers in New York
Rank by total paid#57 of 529
Median peer was paid$77K
This provider vs. median11×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,359 | $162K | |
| 2019 | 2,065 | $109K | |
| 2020 | 2,030 | $108K | |
| 2021 | 1,706 | $89K | |
| 2022 | 1,117 | $63K | |
| 2023 | 1,582 | $107K | |
| 2024incomplete | 3,198 | $239K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 7,224 | 6,792 | $336K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 32% | 3,706 | 3,317 | $276K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 15% | 1,623 | 845 | $130K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 10% | 1,406 | 1,226 | $91K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.2% | 114 | 114 | $19K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 136 | 93 | $8K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 122 | 57 | $5K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 41 | 41 | $4K |
| 99441 | <1% | 146 | 130 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 16 | 13 | $2K |
| 90836 | <1% | 13 | 12 | $1K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 303 | 281 | $0.00 |
3 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHUNT, LAURA (OWNER)