Medicaid Provider Spending

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

PINNACLE TREATMENT CENTERS OH-I, LLC

NPI: 1649631086 · COLUMBUS, OH 43235 · Addiction (Substance Use Disorder) Counselor · NPI assigned 03/13/2016

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

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

$95.47M
Total Medicaid Paid
3,033,308
Total Claims
468,829
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTANIS, ROBYN (EXECUTIVE DIRECTOR OF CONTRACT MGMT)
NPI Enumeration Date03/13/2016

Related Entities

Other providers sharing the same authorized official: TANIS, ROBYN

ProviderCityStateTotal Paid
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
PINNACLE TREATMENT CENTERS KY-1,LLC D/B/A RECOVERY WORKS GREENUP SOUTH SHORE KY $10.41M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 27,903 $7.60M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 2,055,183 115,764 $40.56M
H0011 Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) 46,617 8,798 $17.61M
H0010 Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) 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 22,589 1,906 $4.82M
H2036 Alcohol and/or other drug treatment program, per diem 18,739 1,730 $4.02M
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 294,194 107,100 $3.14M
90832 Psychotherapy, 30 minutes with patient 121,837 62,604 $3.07M
T1502 Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit 64,485 5,913 $2.09M
H0004 Behavioral health counseling and therapy, per 15 minutes 81,435 37,160 $1.36M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 29,447 22,874 $1.09M
H0005 Alcohol and/or drug services; group counseling by a clinician 55,878 24,509 $1.08M
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 53,394 3,923 $1.07M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,091 9,719 $845K
H0006 Alcohol and/or drug services; case management 24,532 16,156 $565K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,785 4,825 $438K
90837 Psychotherapy, 53 minutes with patient 6,403 3,519 $230K
90834 Psychotherapy, 45 minutes with patient 8,754 5,155 $228K
90853 Group psychotherapy (other than of a multiple-family group) 10,581 8,037 $223K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,020 756 $116K
T1002 Rn services, up to 15 minutes 3,700 3,349 $113K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,156 944 $102K
90791 Psychiatric diagnostic evaluation 1,403 1,106 $102K
82075 7,978 777 $98K
J0575 Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine 28,340 652 $95K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 8,475 4,455 $87K
H0001 Alcohol and/or drug assessment 1,784 995 $76K
99205 Prolong outpt/office vis 384 288 $55K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,601 977 $54K
H0012 Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) 121 27 $40K
T1003 Lpn/lvn services, up to 15 minutes 1,012 920 $23K
H0038 Self-help/peer services, per 15 minutes 594 189 $18K
86580 4,849 3,509 $15K
36415 Collection of venous blood by venipuncture 7,131 5,262 $10K
99201 643 342 $9K
J0571 Buprenorphine, oral, 1 mg 634 26 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 122 121 $814.20