Behavioral
Pinnacle Therapeutic Services
Pinnacle Therapeutic Services was paid $373K by Medicaid between Apr 2019 and Jan 2022, across 3 billing codes. Its largest line is H0038, Self-help/peer services, per 15 minutes — 90% of everything it billed.
33Billing provider infoPINNACLE THERAPEUTIC SERVICES
ELKIN, NC 28621
ELKIN, NC 28621
33aNPI1689073058assigned 08/21/2014
33bProvider typePsychologist
28Total paid$373K
24GClaims3,492
24DCodes billed3
24AFirst – last monthApr 2019 – Jan 2022
Compared with peers
Next to other Psychologist providers in North Carolina
Rank by total paid#29 of 96
Median peer was paid$141K
This provider vs. median2.6×
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 | |
|---|---|---|---|
| 2019 | 46 | $4K | |
| 2020 | 1,984 | $185K | |
| 2021 | 1,344 | $171K | |
| 2022 | 118 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0038 | Self-help/peer services, per 15 minutes | 90% | 2,928 | 404 | $335K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 8.0% | 471 | 404 | $30K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.0% | 93 | 50 | $8K |
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 officialSIMMONS, KEN (OWNER)