PINNACLE BEHAVIORAL HEALTH, PC
NPI: 1932678919
· WEST HARTFORD, CT 06117
· Professional Counselor
· NPI assigned 11/19/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code S9480 with only 2 total codes billed. Highly concentrated billing profile.
$1.21M
Total Medicaid Paid
Provider Details
| Authorized Official | KARABELNIK, LISA (OWNER/MEDICAL DIRECTOR) |
| NPI Enumeration Date | 11/19/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
529 |
$73K |
| 2022 |
1,994 |
$290K |
| 2023 |
2,604 |
$380K |
| 2024 |
3,442 |
$468K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9480 |
Intensive outpatient psychiatric services, per diem |
8,429 |
1,008 |
$1.19M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
140 |
130 |
$19K |