Pinnacle Treatment Centers Pa-Iii, LLC
Pinnacle Treatment Centers Pa-Iii, LLC was paid $13.40M by Medicaid between Jan 2018 and Dec 2024, across 13 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) — 54% of everything it billed.
JOHNSTOWN, PA 15904
Next to other Adult Mental Health Clinic/Center providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 35 | $5K | |
| 2020 | 53,472 | $316K | |
| 2021 | 172,027 | $2.26M | |
| 2022 | 160,255 | $4.14M | |
| 2023 | 151,117 | $3.62M | |
| 2024incomplete | 137,104 | $3.07M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 54% | 622,373 | 21,950 | $7.24M |
| G9012 | Other specified case management service not elsewhere classified | 34% | 17,506 | 16,942 | $4.58M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.8% | 6,436 | 5,348 | $370K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.4% | 6,165 | 4,618 | $324K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.4% | 12,604 | 9,343 | $318K |
| H0034 | Medication training and support, per 15 minutes | 1.6% | 2,067 | 1,634 | $215K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.1% | 3,354 | 2,367 | $144K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | <1% | 923 | 283 | $78K |
| 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% | 534 | 429 | $67K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,676 | 1,319 | $54K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 335 | 290 | $5K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 12 | 12 | $0.00 |
1 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 25 | $0.00 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.