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PINNACLE TREATMENT CENTERS KY-I, LLC

Substance Abuse Rehabilitation Facility·LONDON, KY·NPI: 1710463435Share

Compared to Substance Abuse Rehabilitation Facility Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $33.4M is at the 50th percentile among 20 Substance Abuse Rehabilitation Facility providers.

Active Billing Period:2018-082024-12(77 months)

Total Paid

$33.4M

$33,440,880

Total Claims

134K

Beneficiaries

14K

9.6 claims/patient

Avg Cost/Claim

$249

Monthly Spending Trend

Yearly Spending

2018
$448K
+169%
2019
$1.2M
+97%
2020
$2.4M
+111%
2021
$5.0M
+67%
2022
$8.4M
+4%
2023
$8.7M
-14%
2024
$7.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (H0011 (Alcohol and/or drug services, acute detoxification, per diem)) accounts for 67% of total spending.

H0011Normal range

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

$22.4M

71K claims · 67.1%

Your Cost: $317.72/claim|Median: $317.54
1.0× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$8.5M

47K claims · 25.4%

Your Cost: $179.05/claim|Median: $148.53
1.2× median
H0018Normal range

Behavioral health; short-term residential, per diem

$1.9M

7,833 claims · 5.7%

Your Cost: $242.06/claim|Median: $467.51
0.5× median
T2023Normal range

Community transition, waiver; per service

$214K

741 claims · 0.6%

Your Cost: $288.56/claim|Median: $300.13
1.0× median
H0009Normal range

$133K

726 claims · 0.4%

Your Cost: $182.63/claim|Median: $300.57
0.6× median
H0038Normal range

Self-help/peer services, per 15 minutes

$125K

6,463 claims · 0.4%

Your Cost: $19.37/claim|Median: $55.04
0.4× median
H0019Normal range

Behavioral health; residential, per diem

$73K

184 claims · 0.2%

Your Cost: $394.57/claim|Median: $357.16
1.1× median
H0015Normal range

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

$64K

427 claims · 0.2%

Your Cost: $150.73/claim|Median: $129.75
1.2× median