Agency
Pinnacle Home Care, INC.
Pinnacle Home Care, INC. was paid $59.30M by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is T2013, Habilitation, educational, waiver; per hour — 66% of everything it billed.
33Billing provider infoPINNACLE HOME CARE, INC.
GREENVILLE, NC 27858
GREENVILLE, NC 27858
33aNPI1669541538assigned 11/07/2006
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$59.30M
24GClaims337,402
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in North Carolina
Rank by total paid#5 of 125
Median peer was paid$2.75M
This provider vs. median22×
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 | |
|---|---|---|---|
| 2018 | 28,543 | $5.63M | |
| 2019 | 36,742 | $5.68M | |
| 2020 | 40,299 | $6.81M | |
| 2021 | 45,420 | $7.65M | |
| 2022 | 73,428 | $10.16M | |
| 2023 | 57,757 | $11.48M | |
| 2024incomplete | 55,213 | $11.89M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2013 | Habilitation, educational, waiver; per hour | 66% | 207,936 | 8,659 | $38.92M |
| T2012 | Habilitation, educational; waiver, per diem | 26% | 73,098 | 2,663 | $15.63M |
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | 3.4% | 28,773 | 3,895 | $2.03M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 2.6% | 15,028 | 1,104 | $1.53M |
| H0045 | Respite care services, not in the home, per diem | 2.0% | 12,567 | 1,665 | $1.19M |
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 officialBEST, DAVID (AGENCY DIRECTOR)