Medicaid Provider Spending

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

WESTERN KY MEDICAL, LLC

NPI: 1619395605 · HOPKINSVILLE, KY 42240 · Methadone Clinic · NPI assigned 04/07/2014

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

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

$4.29M
Total Medicaid Paid
58,482
Total Claims
11,258
Beneficiaries
7
Codes Billed
2019-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTANIS, ROBYN (EXECUTIVE DIRECTOR PRACTICE MGMT)
Parent OrganizationPINNACLE TREATMENT CENTERS, INC
NPI Enumeration Date04/07/2014

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
2019 7,871 $93K
2020 13,134 $729K
2021 9,944 $934K
2022 9,311 $904K
2023 10,173 $851K
2024 8,049 $776K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 57,825 10,853 $4.21M
T2023 Targeted case management; per month 109 106 $31K
H0047 Alcohol and/or other drug abuse services, not otherwise specified 272 62 $26K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 162 133 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 59 50 $4K
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) 14 13 $2K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 41 41 $1K