Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Pinnacle Treatment Centers Oh-Xviii, LLC

Pinnacle Treatment Centers Oh-Xviii, LLC was paid $817K by Medicaid between Mar 2022 and Dec 2024, across 10 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) — 85% of everything it billed.

33Billing provider infoPINNACLE TREATMENT CENTERS OH-XVIII, LLC
SPRINGFIELD, OH 45505
33aNPI1598346249assigned 04/15/2021
28Total paid$817K
24GClaims12,451
24DCodes billed10
24AFirst – last monthMar 2022 – Dec 2024
Compared with peers

Next to other Recovery Care Clinic/Center providers in Ohio

Rank by total paid#8 of 11
Median peer was paid$1.78M
This provider vs. median0.5×

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 TANIS, ROBYN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
20223,321$179K
20235,462$343K
2024incomplete3,668$294K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 85% 8,147 1,693 $692K
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 3.8% 2,348 1,494 $31K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.6% 647 481 $29K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 2.2% 412 330 $18K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 1.8% 163 130 $14K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 1.7% 236 177 $14K
H0006 Alcohol and/or drug services; case management 1.1% 380 247 $9K
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% 92 61 $8K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 13 12 $1K
36415 Collection of venous blood by venipuncture <1% 13 12 $29.25

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 officialTANIS, ROBYN (EXECUTIVE DIRECTOR OF CONTRACT MGMT)
Same official

Other billing entities under TANIS, ROBYN

Full network →

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