Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Gastonia › NPI 1467829127
Behavioral

Pinnacle Family Services of North Carolina LLC

Pinnacle Family Services of North Carolina LLC was paid $1.73M by Medicaid between Jan 2018 and May 2023, across 6 billing codes. Its largest line is H2022, Community-based wrap-around services, per diem — 91% of everything it billed.

33Billing provider infoPINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC
GASTONIA, NC 28052
33aNPI1467829127assigned 08/28/2015
33bProvider typeMental Health Counselor
28Total paid$1.73M
24GClaims4,095
24DCodes billed6
24AFirst – last monthJan 2018 – May 2023
Compared with peers

Next to other Mental Health Counselor providers in North Carolina

Rank by total paid#59 of 321
Median peer was paid$192K
This provider vs. median9.0×

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 MARTIN, PRESTON controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
20181,203$805K
2019574$291K
2020661$208K
2021834$302K
2023823$119K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2022 Community-based wrap-around services, per diem 91% 2,740 778 $1.57M
H2021 Community-based wrap-around services, per 15 minutes 6.9% 823 111 $119K
H0032 Mental health service plan development by non-physician 1.4% 245 81 $24K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 180 84 $8K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 12 12 $1K
H202222 <1% 95 16 $0.95

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 officialMARTIN, PRESTON (CEO)
Same official

Other billing entities under MARTIN, PRESTON

Full network →

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