Medicaid Provider Spending

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

PINNACLE FAMILY SERVICES OF NC LLC

NPI: 1699221606 · HICKORY, NC 28602 · Mental Health Counselor · NPI assigned 08/30/2016

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

98% of spending on code H2022 with only 2 total codes billed. Highly concentrated billing profile.

Entity Proliferation

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

$3.40M
Total Medicaid Paid
4,298
Total Claims
1,599
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMARTIN, PRESTON (CEO)
NPI Enumeration Date08/30/2016

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 RALEIGH NC $15.24M
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 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 856 $827K
2019 509 $257K
2020 612 $244K
2021 341 $146K
2022 893 $530K
2023 668 $715K
2024 419 $678K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2022 Community-based wrap-around services, per diem 4,124 1,451 $3.35M
T1017 Targeted case management, each 15 minutes 174 148 $52K