Medicaid Provider Spending

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

PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC

NPI: 1689041436 · RALEIGH, NC 27604 · Mental Health Counselor · NPI assigned 08/27/2015

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

Authorized official MARTIN, PRESTON controls 11+ related entities in our dataset. Read more

$15.24M
Total Medicaid Paid
94,372
Total Claims
4,869
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARTIN, PRESTON (CEO)
NPI Enumeration Date08/27/2015

Related Entities

Other providers sharing the same authorized official: MARTIN, PRESTON

ProviderCityStateTotal Paid
PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC RALEIGH NC $39.19M
PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC BURLINGTON NC $11.99M
PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC CHARLOTTE NC $9.41M
PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC GREENSBORO NC $5.98M
PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC WEST END NC $5.67M
PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC WINSTON SALEM NC $4.22M
PINNACLE FAMILY SERVICES OF NC LLC HICKORY NC $3.40M
PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC GASTONIA NC $1.73M
PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC GOLDSBORO NC $1.45M
PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC FAYETTEVILLE NC $1.35M
PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC WHITEVILLE NC $883K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,062 $826K
2019 2,589 $265K
2020 15,990 $1.75M
2021 14,509 $2.00M
2022 26,733 $4.24M
2023 22,055 $4.07M
2024 9,434 $2.09M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5145 Foster care, therapeutic, child; per diem 84,226 3,368 $13.75M
H2022 Community-based wrap-around services, per diem 6,304 1,179 $917K
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 3,752 263 $571K
90837 Psychotherapy, 53 minutes with patient 29 13 $3K
90834 Psychotherapy, 45 minutes with patient 27 12 $2K
T1017 Targeted case management, each 15 minutes 34 34 $0.00