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PINNACLE TREATMENT CENTERS KY-I, LLC

Substance Abuse Rehabilitation Facility·GEORGETOWN, KY·NPI: 1588927339Share

Compared to Substance Abuse Rehabilitation Facility Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $23.4M is at the 25th percentile among 20 Substance Abuse Rehabilitation Facility providers.

Active Billing Period:2018-012021-04(36 months)
Billing appears to have stoppedLast active: 2021-04

Total Paid

$23.4M

$23,370,387

Total Claims

91K

Beneficiaries

9,089

10.0 claims/patient

Avg Cost/Claim

$258

Monthly Spending Trend

Yearly Spending

2018
$8.9M
-5%
2019
$8.5M
-37%
2020
$5.4M
-90%
2021
$513K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (H0018 (Behavioral health; short-term residential, per diem)) accounts for 47% of total spending.

H0018Normal range

Behavioral health; short-term residential, per diem

$11.0M

38K claims · 47.3%

Your Cost: $290.43/claim|Median: $467.51
0.6× median
H0011Normal range

Alcohol and/or drug services, acute detoxification, per diem

$5.2M

18K claims · 22.2%

Your Cost: $283.92/claim|Median: $317.54
0.9× median
H0015Normal range

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

$3.2M

21K claims · 13.7%

Your Cost: $154.99/claim|Median: $129.75
1.2× median
H0009Normal range

$1.7M

4,939 claims · 7.1%

Your Cost: $335.46/claim|Median: $300.57
1.1× median
H2036Normal range

Alcohol/drug treatment, per hour

$1.3M

3,672 claims · 5.6%

Your Cost: $355.09/claim|Median: $253.79
1.4× median
H0019Normal range

Behavioral health; residential, per diem

$606K

2,114 claims · 2.6%

Your Cost: $286.57/claim|Median: $357.16
0.8× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$340K

2,943 claims · 1.5%

Your Cost: $115.38/claim|Median: $148.53
0.8× median
H0008Normal range

$21K

59 claims · 0.1%

Your Cost: $358.47/claim|Median: $404.24
0.9× median