Clinic
Pinnacle Treatment Centers Va-I, LLC
Pinnacle Treatment Centers Va-I, LLC was paid $16.40M by Medicaid between Aug 2018 and Dec 2024, across 18 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 39% of everything it billed.
33Billing provider infoPINNACLE TREATMENT CENTERS VA-I, LLC
RICHMOND, VA 23230
RICHMOND, VA 23230
33aNPI1750872966assigned 05/23/2018
33bProvider typeRecovery Care Clinic/Center
28Total paid$16.40M
24GClaims1,767,655
24DCodes billed18
24AFirst – last monthAug 2018 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official TANIS, ROBYN controls 20+ related entities in our dataset. Read more
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 | 5,436 | $31K | |
| 2019 | 114,845 | $869K | |
| 2020 | 239,372 | $2.07M | |
| 2021 | 268,933 | $3.30M | |
| 2022 | 390,878 | $3.69M | |
| 2023 | 421,051 | $3.42M | |
| 2024incomplete | 327,140 | $3.02M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 39% | 739,244 | 33,746 | $6.46M |
| G9012 | Other specified case management service not elsewhere classified | 24% | 17,325 | 15,824 | $3.88M |
| S0109 | Methadone, oral, 5 mg | 23% | 878,698 | 32,562 | $3.72M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 7.4% | 32,863 | 21,981 | $1.21M |
| 80305 | 4.2% | 84,365 | 27,338 | $685K | |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | 1.5% | 1,894 | 1,865 | $252K |
| 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% | 310 | 58 | $58K |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | <1% | 2,047 | 92 | $33K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 694 | 614 | $25K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 1,548 | 344 | $21K |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) | <1% | 3,721 | 1,005 | $14K |
| 82075 | <1% | 2,308 | 2,035 | $10K |
6 more codes
| 81025 | <1% | 1,450 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 297 | $6K |
| 86580 | <1% | 564 | $3K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 141 | $3K |
| J0572 | Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine | <1% | 129 | $946.12 |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 0% | 57 | $0.00 |
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 officialTANIS, ROBYN (EXECUTIVE DIRECTOR OF CONTRACT MGMT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.