Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Pinnacle Family Services of North Carolina LLC

Pinnacle Family Services of North Carolina LLC was paid $11.99M by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is H2022, Community-based wrap-around services, per diem — 96% of everything it billed.

33Billing provider infoPINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC
BURLINGTON, NC 27215
33aNPI1992172639assigned 08/28/2015
33bProvider typeMental Health Counselor
28Total paid$11.99M
24GClaims28,842
24DCodes billed3
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Mental Health Counselor providers in North Carolina

Rank by total paid#13 of 321
Median peer was paid$192K
This provider vs. median63×

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 Concentration96% of spending on code H2022 with only 3 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official MARTIN, PRESTON controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
20183,034$805K
20195,113$1.32M
20205,762$1.51M
20215,721$1.53M
20223,962$1.77M
20233,892$3.11M
2024incomplete1,358$1.93M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2022 Community-based wrap-around services, per diem 96% 26,891 5,034 $11.48M
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 2.8% 1,149 797 $334K
H2021 Community-based wrap-around services, per 15 minutes 1.4% 802 140 $171K

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 officialMARTIN, PRESTON (CEO)
Same official

Other billing entities under MARTIN, PRESTON

Full network →

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