Medicaid Provider Spending

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

PINNACLE TREATMENT CENTERS VA-I, LLC

NPI: 1558874461 · NORTH CHESTERFIELD, VA 23236 · Community/Behavioral Health Agency · NPI assigned 11/14/2017

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

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

$9.32M
Total Medicaid Paid
1,025,619
Total Claims
80,061
Beneficiaries
13
Codes Billed
2018-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTANIS, ROBYN (EXEC DIR CONTRACT MANAGEMENT)
NPI Enumeration Date11/14/2017

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 34,449 $149K
2019 117,188 $796K
2020 125,011 $1.45M
2021 147,321 $1.87M
2022 192,493 $1.63M
2023 195,042 $1.54M
2024 214,115 $1.89M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 428,572 20,351 $3.80M
S0109 Methadone, oral, 5 mg 529,898 19,676 $2.29M
G9012 Other specified case management service not elsewhere classified 9,221 8,269 $2.03M
H0004 Behavioral health counseling and therapy, per 15 minutes 16,739 12,225 $719K
80305 35,467 15,835 $326K
H0014 Alcohol and/or drug services; ambulatory detoxification 916 896 $124K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 278 267 $9K
H0005 Alcohol and/or drug services; group counseling by a clinician 785 208 $8K
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) 1,145 382 $7K
82075 1,651 1,140 $7K
86580 580 504 $3K
81025 326 271 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 41 37 $791.21