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PINNACLE TREATMENT CENTERS OH-I, LLC

Substance Abuse Rehabilitation Facility·COLUMBUS, OH·NPI: 1649631086Share

Compared to Substance Abuse Rehabilitation Facility Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $95.5M is at the 75th percentile among 20 Substance Abuse Rehabilitation Facility providers.

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

Total Paid

$95.5M

$95,466,085

Total Claims

3.0M

Beneficiaries

469K

6.5 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$6.1M
+170%
2019
$16.6M
+19%
2020
$19.7M
+23%
2021
$24.2M
-50%
2022
$12.2M
-25%
2023
$9.1M
-16%
2024
$7.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 36 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 42% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$40.6M

2.1M claims · 42.5%

Your Cost: $19.74/claim|Median: $18.95
1.0× median
H0011Normal range

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

$17.6M

47K claims · 18.4%

Your Cost: $377.66/claim|Median: $317.54
1.2× median
H0010Normal range

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

$12.0M

49K claims · 12.6%

Your Cost: $243.17/claim|Median: $369.55
0.7× median
H0015Top 25%

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

$4.8M

23K claims · 5.1%

Your Cost: $213.57/claim|Median: $129.75
1.6× median
H2036Normal range

Alcohol/drug treatment, per hour

$4.0M

19K claims · 4.2%

Your Cost: $214.53/claim|Median: $253.79
0.8× median
H0048Normal range

$3.1M

294K claims · 3.3%

Your Cost: $10.66/claim|Median: $13.25
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$3.1M

122K claims · 3.2%

Your Cost: $25.20/claim|Median: $41.28
0.6× median
T1502Top 25%

Administration of oral, intramuscular, or subcutaneous medication

$2.1M

64K claims · 2.2%

Your Cost: $32.43/claim|Median: $7.86
4.1× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.4M

81K claims · 1.4%

Your Cost: $16.66/claim|Median: $74.63
0.2× median
99212Top 25%

Office/outpatient visit, low complexity

$1.1M

29K claims · 1.1%

Your Cost: $37.12/claim|Median: $25.06
1.5× median
H0005Normal range

Alcohol and/or drug services, group counseling

$1.1M

56K claims · 1.1%

Your Cost: $19.37/claim|Median: $47.35
0.4× median
J0574Normal range

$1.1M

53K claims · 1.1%

Your Cost: $20.02/claim|Median: $15.76
1.3× median
99213Top 25%

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

$845K

13K claims · 0.9%

Your Cost: $64.55/claim|Median: $37.81
1.7× median
H0006Normal range

Alcohol and/or drug services, case management

$565K

25K claims · 0.6%

Your Cost: $23.02/claim|Median: $43.10
0.5× median
99203Normal range

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

$438K

5,785 claims · 0.5%

Your Cost: $75.65/claim|Median: $57.85
1.3× median
90837Normal range

Psychotherapy, 60 minutes

$230K

6,403 claims · 0.2%

Your Cost: $35.88/claim|Median: $85.66
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$228K

8,754 claims · 0.2%

Your Cost: $26.08/claim|Median: $63.65
0.4× median
90853Normal range

Group psychotherapy

$223K

11K claims · 0.2%

Your Cost: $21.08/claim|Median: $25.02
0.8× median
99204Top 25%

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

$116K

1,020 claims · 0.1%

Your Cost: $113.32/claim|Median: $84.03
1.3× median
T1002Normal range

RN services, per 15 minutes

$113K

3,700 claims · 0.1%

Your Cost: $30.62/claim|Median: $37.42
0.8× median
99214Top 25%

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

$102K

1,156 claims · 0.1%

Your Cost: $87.94/claim|Median: $53.41
1.6× median
90791Normal range

Psychiatric diagnostic evaluation

$102K

1,403 claims · 0.1%

Your Cost: $72.38/claim|Median: $99.21
0.7× median
82075Normal range

Alcohol (ethanol) breath test

$98K

7,978 claims · 0.1%

Your Cost: $12.26/claim|Median: $16.59
0.7× median
J0575Normal range

$95K

28K claims · 0.1%

Your Cost: $3.34/claim|Median: $14.96
0.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$87K

8,475 claims · 0.1%

Your Cost: $10.24/claim|Median: $12.93
0.8× median
H0001Normal range

Alcohol and/or drug assessment

$76K

1,784 claims · 0.1%

Your Cost: $42.41/claim|Median: $94.22
0.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$55K

384 claims · 0.1%

Your Cost: $144.25/claim|Median: $111.09
1.3× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$54K

1,601 claims · 0.1%

Your Cost: $33.63/claim|Median: $40.11
0.8× median
H0012Normal range

$40K

121 claims · 0.0%

Your Cost: $327.60/claim|Median: $295.95
1.1× median
T1003Normal range

LPN/LVN services, per 15 minutes

$23K

1,012 claims · 0.0%

Your Cost: $22.58/claim|Median: $24.24
0.9× median
H0038Normal range

Self-help/peer services, per 15 minutes

$18K

594 claims · 0.0%

Your Cost: $29.50/claim|Median: $55.04
0.5× median
86580Normal range

Tuberculosis (TB) skin test

$15K

4,849 claims · 0.0%

Your Cost: $3.13/claim|Median: $4.46
0.7× median
36415Normal range

Collection of venous blood by venipuncture

$10K

7,131 claims · 0.0%

Your Cost: $1.40/claim|Median: $1.57
0.9× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$9K

643 claims · 0.0%

Your Cost: $13.61/claim|Median: $27.38
0.5× median
J0571Normal range

$2K

634 claims · 0.0%

Your Cost: $2.64/claim|Median: $7.96
0.3× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$814

122 claims · 0.0%

Your Cost: $6.67/claim|Median: $7.50
0.9× median

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Similar Providers

Other top providers in Substance Abuse Rehabilitation Facility

Nu-way House INC

Minneapolis, MN

$200.3M

Samaritan Daytop Village Inc.

Richmond Hill, NY

$191.8M

Helio Health Inc.

Syracuse, NY

$162.9M

Pyramid Health Care Inc.

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$128.8M

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