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PINNACLE TREATMENT CENTERS NJ-III, LLC

Clinic/Center, Methadone Clinic·PENNSAUKEN, NJ·NPI: 1376712786Share

Compared to Clinic/Center, Methadone Clinic Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $56.3M is at the 50th percentile among 5 Clinic/Center, Methadone Clinic providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$56.3M

$56,327,883

Total Claims

714K

Beneficiaries

165K

4.3 claims/patient

Avg Cost/Claim

$79

Monthly Spending Trend

Yearly Spending

2018
$10.5M
+16%
2019
$12.2M
+13%
2020
$13.8M
-14%
2021
$11.8M
-79%
2022
$2.5M
+19%
2023
$3.0M
-17%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 69% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$39.0M

542K claims · 69.3%

Your Cost: $72.07/claim|Median: $18.95
3.8× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$9.2M

91K claims · 16.3%

Your Cost: $101.25/claim|Median: $73.29
1.4× median
H0033Top 25%

Oral medication administration, direct observation

$5.3M

31K claims · 9.5%

Your Cost: $174.47/claim|Median: $31.37
5.6× median
90834Top 25%

Psychotherapy, 45 minutes

$594K

6,559 claims · 1.1%

Your Cost: $90.61/claim|Median: $63.65
1.4× median
T2022Normal range

Case management, per month

$561K

22K claims · 1.0%

Your Cost: $25.00/claim|Median: $202.77
0.1× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$317K

2,895 claims · 0.6%

Your Cost: $109.48/claim|Median: $129.75
0.8× median
G2078Top 10%

$284K

5,091 claims · 0.5%

Your Cost: $55.71/claim|Median: $27.04
2.1× median
90832Top 25%

Psychotherapy, 30 minutes

$259K

3,760 claims · 0.5%

Your Cost: $69.01/claim|Median: $41.28
1.7× median
G2068Normal range

$167K

882 claims · 0.3%

Your Cost: $189.71/claim|Median: $170.60
1.1× median
99203Top 25%

Office/outpatient visit, new patient, low-mod complexity

$131K

1,471 claims · 0.2%

Your Cost: $88.74/claim|Median: $57.85
1.5× median
G2076Normal range

$113K

311 claims · 0.2%

Your Cost: $361.89/claim|Median: $275.92
1.3× median
H0001Normal range

Alcohol and/or drug assessment

$107K

2,052 claims · 0.2%

Your Cost: $52.29/claim|Median: $94.22
0.6× median
99212Top 25%

Office/outpatient visit, low complexity

$88K

1,810 claims · 0.2%

Your Cost: $48.78/claim|Median: $25.06
1.9× median
90791Normal range

Psychiatric diagnostic evaluation

$82K

1,452 claims · 0.1%

Your Cost: $56.21/claim|Median: $99.21
0.6× median
H0038Normal range

Self-help/peer services, per 15 minutes

$55K

1,176 claims · 0.1%

Your Cost: $46.72/claim|Median: $55.04
0.8× median
S9475Normal range

$18K

164 claims · 0.0%

Your Cost: $109.48/claim|Median: $410.41
0.3× median
90853Normal range

Group psychotherapy

$11K

414 claims · 0.0%

Your Cost: $27.50/claim|Median: $25.02
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$2K

365 claims · 0.0%

Your Cost: $4.50/claim|Median: $12.93
0.3× median
86580Normal range

Tuberculosis (TB) skin test

$456

114 claims · 0.0%

Your Cost: $4.00/claim|Median: $4.46
0.9× median

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Similar Providers

Other top providers in Clinic/Center, Methadone Clinic

Galax Treatment Center, LLC

Galax, VA

$164.2M

Hartford Dispensary

Hartford, CT

$122.8M

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