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PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC

Community/Behavioral Health·RALEIGH, NC·NPI: 1205205309Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $39.2M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$39.2M

$39,194,481

Total Claims

102K

Beneficiaries

17K

5.9 claims/patient

Avg Cost/Claim

$385

Monthly Spending Trend

Yearly Spending

2018
$5.5M
-6%
2019
$5.1M
-17%
2020
$4.2M
+20%
2021
$5.1M
-19%
2022
$4.1M
+83%
2023
$7.6M
+0%
2024
$7.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (H2022 (Community-based wrap-around services, per diem)) accounts for 49% of total spending.

H2022Normal range

Community-based wrap-around services, per diem

$19.3M

22K claims · 49.2%

Your Cost: $885.29/claim|Median: $336.31
2.6× median
S5145Normal range

Foster care, therapeutic, child, per diem

$12.9M

66K claims · 33.0%

Your Cost: $196.11/claim|Median: $216.31
0.9× median
H0036Top 1%

Community psychiatric supportive treatment, per 15 min

$5.6M

9,034 claims · 14.2%

Your Cost: $616.76/claim|Median: $76.05
8.1× median
T1017Top 10%

Targeted case management, per 15 min

$1.4M

4,799 claims · 3.5%

Your Cost: $284.20/claim|Median: $69.56
4.1× median
99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$17K

174 claims · 0.0%

Your Cost: $96.91/claim|Median: $53.41
1.8× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$3K

51 claims · 0.0%

Your Cost: $65.34/claim|Median: $32.55
2.0× median
90791Normal range

Psychiatric diagnostic evaluation

$308

20 claims · 0.0%

Your Cost: $15.39/claim|Median: $99.21
0.2× median
90837Normal range

Psychotherapy, 60 minutes

$0

50 claims · 0.0%

Your Cost: $0.00/claim|Median: $85.66