Pinnacle Treatment Centers Ky-I, LLC
Pinnacle Treatment Centers Ky-I, LLC was paid $33.44M by Medicaid between Aug 2018 and Dec 2024, across 8 billing codes. Its largest line is H0011, Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) — 67% of everything it billed.
LONDON, KY 40741
Next to other Substance Abuse Rehabilitation Facility providers in Kentucky
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,855 | $448K | |
| 2019 | 4,249 | $1.20M | |
| 2020 | 9,068 | $2.37M | |
| 2021 | 18,298 | $4.99M | |
| 2022 | 33,907 | $8.35M | |
| 2023 | 34,641 | $8.65M | |
| 2024incomplete | 31,447 | $7.42M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0011 | Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) | 67% | 70,618 | 6,433 | $22.44M |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 25% | 47,473 | 3,955 | $8.50M |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 5.7% | 7,833 | 929 | $1.90M |
| T2023 | Targeted case management; per month | <1% | 741 | 677 | $214K |
| H0009 | Alcohol and/or drug services; acute detoxification (hospital inpatient) | <1% | 726 | 88 | $133K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 6,463 | 1,857 | $125K |
| H0019 | Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem | <1% | 184 | 28 | $73K |
| 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 | <1% | 427 | 53 | $64K |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.