Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pinnacle Treatment Centers Nj-Iii, LLC

Pinnacle Treatment Centers Nj-Iii, LLC was paid $118K by Medicaid between Mar 2023 and Jul 2023, across 4 billing codes. Its largest line is 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) — 98% of everything it billed.

33Billing provider infoPINNACLE TREATMENT CENTERS NJ-III, LLC
ISELIN, NJ 08830
33aNPI1770211336assigned 08/11/2022
28Total paid$118K
24GClaims1,303
24DCodes billed4
24AFirst – last monthMar 2023 – Jul 2023
Compared with peers

Next to other Recovery Care Clinic/Center providers in New Jersey

Rank by total paid#6 of 7
Median peer was paid$2.84M
This provider vs. median0.0×

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.

Entity ProliferationAuthorized official TANIS, ROBYN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20231,303$118K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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) 98% 1,119 316 $116K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 19 18 $996.74
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 <1% 20 20 $705.60
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) <1% 145 50 $616.25

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)
Same official

Other billing entities under TANIS, ROBYN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.