Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PENNSYLVANIA CARE, LLC

NPI: 1467759399 · ASHLEY, PA 18706 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 02/11/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TANIS, ROBYN controls 20+ related entities in our dataset. Read more

$16.60M
Total Medicaid Paid
280,778
Total Claims
65,104
Beneficiaries
8
Codes Billed
2019-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTANIS, ROBYN (EXECUTIVE DIRECTOR OF CONTRACT MGMT)
NPI Enumeration Date02/11/2011

Related Entities

Other providers sharing the same authorized official: TANIS, ROBYN

ProviderCityStateTotal Paid
PINNACLE TREATMENT CENTERS OH-I, LLC COLUMBUS OH $95.47M
PINNACLETREATMENT CENTERS IN-1, LLC CAMBRIDGE CITY IN $62.48M
PINNACLE TREATMENT CENTERS NJ-III, LLC PENNSAUKEN NJ $56.33M
PINNACLE TREATMENT CENTERS IN-1, LLC D/B/A RECOVERY WORKS MERRILLVILLE MERRILLVILLE IN $43.07M
PINNACLE TREATMENT CENTERS KY-1, LLC ELIZABETHTOWN KY $33.62M
PINNACLE TREATMENT CENTERS KY-I, LLC LONDON KY $33.44M
PINNACLE TREATMENT CENTERS KY-I, LLC GEORGETOWN KY $30.87M
PULASKI MEDICAL, LLC PULASKI VA $28.41M
NKY MED, LLC COVINGTON KY $24.36M
PINNACLE TREATMENT CENTERS KY-1, LLC D/B/A RECOVERY WORKS GREENUP SOUTH SHORE KY $23.45M
PINNACLE TREATMENT CENTERS KY-I, LLC GEORGETOWN KY $23.37M
LEESBURG TREATMENT SERVICES, LLC NORTH CHESTERFIELD VA $22.29M
PINNACLE TREATMENT CENTERS, LLC D/B/A RECOVERY WORKS PADUCAH MAYFIELD KY $17.66M
PINNACLE TREATMENT CENTERS VA-I, LLC RICHMOND VA $16.40M
PINNACLE TREATMENT CENTERS VA-I, LLC FREDERICKSBURG VA $15.63M
PINNACLE TREATMENT SERVICES OF ROANOKE, LLC ROANOKE VA $14.22M
PINNACLE TREATMENT CENTERS PA-III, LLC JOHNSTOWN PA $13.40M
PINNACLE TREATMENT CENTERS NJ III LLC VINELAND NJ $10.84M
OCEAN MONMOUTH CARE, LLC BRICK NJ $10.80M
PINNACLE TREATMENT CENTERS KY-1,LLC D/B/A RECOVERY WORKS GREENUP SOUTH SHORE KY $10.41M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 42 $3K
2020 20,379 $921K
2021 74,155 $3.53M
2022 81,771 $4.30M
2023 58,561 $4.43M
2024 45,870 $3.43M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 70,596 19,209 $7.75M
G9012 Other specified case management service not elsewhere classified 23,940 23,852 $6.26M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 172,908 11,221 $1.47M
90834 Psychotherapy, 45 minutes with patient 8,294 6,710 $743K
H0034 Medication training and support, per 15 minutes 1,725 1,227 $181K
90853 Group psychotherapy (other than of a multiple-family group) 1,789 1,568 $101K
90832 Psychotherapy, 30 minutes with patient 1,331 1,159 $65K
90837 Psychotherapy, 53 minutes with patient 195 158 $22K