Pinnacle Treatment Centers Ky-I, LLC
Pinnacle Treatment Centers Ky-I, LLC was paid $23.37M by Medicaid between Jan 2018 and Apr 2021, across 8 billing codes. Its largest line is H0018, Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem — 47% of everything it billed.
GEORGETOWN, KY 40324
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Kentucky
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 | 34,841 | $8.94M | |
| 2019 | 31,517 | $8.53M | |
| 2020 | 22,204 | $5.39M | |
| 2021 | 2,180 | $513K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 47% | 38,040 | 3,332 | $11.05M |
| H0011 | Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) | 22% | 18,262 | 1,595 | $5.18M |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 14% | 20,713 | 2,230 | $3.21M |
| H0009 | Alcohol and/or drug services; acute detoxification (hospital inpatient) | 7.1% | 4,939 | 1,041 | $1.66M |
| H2036 | Alcohol and/or other drug treatment program, per diem | 5.6% | 3,672 | 405 | $1.30M |
| H0019 | Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem | 2.6% | 2,114 | 128 | $606K |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 1.5% | 2,943 | 346 | $340K |
| H0008 | Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) | <1% | 59 | 12 | $21K |
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.