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 $2.84M by Medicaid between Feb 2023 and Dec 2024, across 5 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) — 94% of everything it billed.

33Billing provider infoPINNACLE TREATMENT CENTERS NJ-III, LLC
TRENTON, NJ 08638
33aNPI1780312348assigned 08/11/2022
28Total paid$2.84M
24GClaims23,942
24DCodes billed5
24AFirst – last monthFeb 2023 – Dec 2024
Compared with peers

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

Rank by total paid#4 of 7
Median peer was paid$2.84M
This provider vs. median1.0×

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$100K$200K2018201920202021202220232024
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
202312,453$1.31M
2024incomplete11,489$1.53M
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) 94% 21,174 6,095 $2.66M
G2076 Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code 3.1% 232 229 $89K
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 2.9% 1,667 1,219 $83K
G2068 Medication assisted treatment, buprenorphine (oral); 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% 25 12 $5K
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) <1% 844 285 $4K

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.