Medicaid Provider Spending

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

PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC

NPI: 1780052522 · WEST END, NC 27376 · Mental Health Counselor · NPI assigned 09/10/2015

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

95% of spending on code H2022 with only 3 total codes billed. Highly concentrated billing profile.

Entity Proliferation

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

$5.67M
Total Medicaid Paid
14,072
Total Claims
2,628
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMARTIN, PRESTON (CEO)
NPI Enumeration Date09/10/2015

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 WINSTON SALEM NC $4.22M
PINNACLE FAMILY SERVICES OF NC LLC HICKORY NC $3.40M
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 1,877 $617K
2019 1,510 $519K
2020 3,195 $1.12M
2021 2,834 $838K
2022 3,834 $1.17M
2023 665 $932K
2024 157 $468K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2022 Community-based wrap-around services, per diem 12,499 2,527 $5.41M
S5145 Foster care, therapeutic, child; per diem 1,537 65 $163K
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 36 36 $97K