Behavioral
Pinnacle Treatment Centers Oh-I, LLC
Pinnacle Treatment Centers Oh-I, LLC was paid $95.47M by Medicaid between Jan 2018 and Dec 2024, across 36 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) — 42% of everything it billed.
33Billing provider infoPINNACLE TREATMENT CENTERS OH-I, LLC
COLUMBUS, OH 43235
COLUMBUS, OH 43235
33aNPI1649631086assigned 03/13/2016
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$95.47M
24GClaims3,033,308
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Ohio
Rank by total paid#1 of 540
Median peer was paid$25K
This provider vs. median3,894×
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
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 | |
|---|---|---|---|
| 2018 | 736,521 | $6.15M | |
| 2019 | 851,223 | $16.58M | |
| 2020 | 734,152 | $19.71M | |
| 2021 | 558,699 | $24.15M | |
| 2022 | 89,727 | $12.19M | |
| 2023 | 35,083 | $9.08M | |
| 2024incomplete | 27,903 | $7.60M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 42% | 2,055,183 | 115,764 | $40.56M |
| H0011 | Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) | 18% | 46,617 | 8,798 | $17.61M |
| H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | 13% | 49,417 | 4,442 | $12.02M |
| 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 | 5.1% | 22,589 | 1,906 | $4.82M |
| H2036 | Alcohol and/or other drug treatment program, per diem | 4.2% | 18,739 | 1,730 | $4.02M |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 3.3% | 294,194 | 107,100 | $3.14M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.2% | 121,837 | 62,604 | $3.07M |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | 2.2% | 64,485 | 5,913 | $2.09M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1.4% | 81,435 | 37,160 | $1.36M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 29,447 | 22,874 | $1.09M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 1.1% | 55,878 | 24,509 | $1.08M |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 1.1% | 53,394 | 3,923 | $1.07M |
24 more codes
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 13,091 | $845K |
| H0006 | Alcohol and/or drug services; case management | <1% | 24,532 | $565K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 5,785 | $438K |
| 90837 | Psychotherapy session, about an hour | <1% | 6,403 | $230K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 8,754 | $228K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 10,581 | $223K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,020 | $116K |
| T1002 | Rn services, up to 15 minutes | <1% | 3,700 | $113K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,156 | $102K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,403 | $102K |
| 82075 | <1% | 7,978 | $98K | |
| J0575 | Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine | <1% | 28,340 | $95K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 8,475 | $87K |
| H0001 | Alcohol and/or drug assessment | <1% | 1,784 | $76K |
| 99205 | Prolong outpt/office vis | <1% | 384 | $55K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,601 | $54K |
| H0012 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) | <1% | 121 | $40K |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 1,012 | $23K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 594 | $18K |
| 86580 | <1% | 4,849 | $15K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 7,131 | $10K |
| 99201 | <1% | 643 | $9K | |
| J0571 | Buprenorphine, oral, 1 mg | <1% | 634 | $2K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 122 | $814.20 |
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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.