Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pinnacle Treatment Centers Oh-Xiv, LLC

Pinnacle Treatment Centers Oh-Xiv, LLC was paid $3.97M by Medicaid between Nov 2020 and Dec 2024, across 16 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 73% of everything it billed.

33Billing provider infoPINNACLE TREATMENT CENTERS OH-XIV, LLC
MARION, OH 43302
33aNPI1467078535assigned 06/24/2020
28Total paid$3.97M
24GClaims72,828
24DCodes billed16
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers

Next to other Recovery Care Clinic/Center providers in Ohio

Rank by total paid#3 of 11
Median peer was paid$1.78M
This provider vs. median2.2×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official TANIS, ROBYN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
2020233$14K
202119,679$547K
202218,191$1.05M
202320,992$1.30M
2024incomplete13,733$1.06M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 73% 41,077 6,542 $2.88M
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 6.8% 10,455 372 $271K
T1502 Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit 5.8% 1,371 547 $229K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 4.1% 3,349 2,370 $164K
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 3.7% 10,977 6,914 $149K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.3% 1,864 1,614 $90K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 1.6% 726 522 $64K
H0006 Alcohol and/or drug services; case management 1.4% 1,690 1,270 $54K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 235 219 $23K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 256 242 $21K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 294 244 $18K
90853 Group psychotherapy (other than of a multiple-family group) <1% 181 106 $4K
4 more codes
H0038 Self-help/peer services, per 15 minutes <1% 117 $3K
T1003 Lpn/lvn services, up to 15 minutes <1% 52 $1K
86580 <1% 80 $413.58
36415 Collection of venous blood by venipuncture <1% 104 $193.09

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 officialTANIS, ROBYN (EXECUTIVE DIRECTOR OF CONTRACT MGMT)
Same official

Other billing entities under TANIS, ROBYN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.