Pinnacle Behavioral Health, PC

Pinnacle Behavioral Health, PC was paid $1.21M by Medicaid between Apr 2021 and Dec 2024, across 2 billing codes. Its largest line is S9480, Intensive outpatient psychiatric services, per diem — 98% of everything it billed.

33Billing provider infoPINNACLE BEHAVIORAL HEALTH, PC
WEST HARTFORD, CT 06117

33aNPI1932678919assigned 11/19/2018

33bProvider typeProfessional Counselor

28Total paid$1.21M

24GClaims8,569

24DCodes billed2

24AFirst – last monthApr 2021 – Dec 2024

Compared with peers

Next to other Professional Counselor providers in Connecticut

Rank by total paid#14 of 418

Median peer was paid$79K

This provider vs. median15×

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.

Single-Code Concentration98% of spending on code S9480 with only 2 total codes billed. Highly concentrated billing profile.

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
2021	529	$73K
2022	1,994	$290K
2023	2,604	$380K
2024incomplete	3,442	$468K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S9480	Intensive outpatient psychiatric services, per diem	98%	8,429	1,008	$1.19M
90792	Psychiatric diagnostic evaluation with medical services	1.5%	140	130	$19K

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 officialKARABELNIK, LISA (OWNER/MEDICAL DIRECTOR)