Clinic
Pinnacle Treatment Centers In-I, LLC
Pinnacle Treatment Centers In-I, LLC was paid $20.76M by Medicaid between Apr 2022 and Dec 2024, across 7 billing codes. Its largest line is H0010, Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) — 76% of everything it billed.
33Billing provider infoPINNACLE TREATMENT CENTERS IN-I, LLC
MARTINSVILLE, IN 46151
MARTINSVILLE, IN 46151
33aNPI1619639523assigned 10/07/2021
33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center
28Total paid$20.76M
24GClaims57,644
24DCodes billed7
24AFirst – last monthApr 2022 – Dec 2024
Compared with peers
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Indiana
Rank by total paid#7 of 28
Median peer was paid$4.46M
This provider vs. median4.7×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 10,521 | $3.29M | |
| 2023 | 24,880 | $8.70M | |
| 2024incomplete | 22,243 | $8.77M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | 76% | 36,934 | 3,129 | $15.85M |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 24% | 19,883 | 1,858 | $4.88M |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 401 | 167 | $13K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 226 | 92 | $8K |
| 99223 | Prolong inpt eval add15 m | <1% | 26 | 25 | $3K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 139 | 86 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 35 | 14 | $610.74 |
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 officialHOEFLICH, SUSAN (VP OF MANAGED CARE)