Medicaid Provider Spending

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

PINNACLE TREATMENT CENTERS PA-III, LLC

NPI: 1528288362 · JOHNSTOWN, PA 15904 · Adult Mental Health Clinic/Center · NPI assigned 04/26/2007

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

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

$13.40M
Total Medicaid Paid
674,010
Total Claims
64,560
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTANIS, ROBYN (EXECUTIVE CONTRACT MGMT)
NPI Enumeration Date04/26/2007

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
PENNSYLVANIA CARE, LLC ASHLEY PA $16.60M
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 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
2018 35 $5K
2020 53,472 $316K
2021 172,027 $2.26M
2022 160,255 $4.14M
2023 151,117 $3.62M
2024 137,104 $3.07M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 622,373 21,950 $7.24M
G9012 Other specified case management service not elsewhere classified 17,506 16,942 $4.58M
90837 Psychotherapy, 53 minutes with patient 6,436 5,348 $370K
90834 Psychotherapy, 45 minutes with patient 6,165 4,618 $324K
90832 Psychotherapy, 30 minutes with patient 12,604 9,343 $318K
H0034 Medication training and support, per 15 minutes 2,067 1,634 $215K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,354 2,367 $144K
T1015 Clinic visit/encounter, all-inclusive 923 283 $78K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 534 429 $67K
90853 Group psychotherapy (other than of a multiple-family group) 1,676 1,319 $54K
99215 Prolong outpt/office vis 335 290 $5K
90792 Psychiatric diagnostic evaluation with medical services 12 12 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 25 25 $0.00