Pinnacle Treatment Centers Nj Iii LLC
Total Paid
$279K
$278,869
Total Claims
3,684
Beneficiaries
1,138
3.2 claims/patient
Avg Cost/Claim
$76
🔍 Analysis
Provider Overview
Pinnacle Treatment Centers Nj Iii LLC is a Clinic/Center, Recovery Care provider based in Pennsville, NJ. From 2022-02 through 2023-05, this provider received $279K in Medicaid payments across 4K claims serving 1K beneficiaries, billing 3 distinct procedure codes.
Key Findings
- 📊95% of all billing comes from a single procedure code: G2067 (G2067). This extreme concentration is unusual and may indicate specialized services or a narrow billing pattern.
- 📊Billing stopped in 2023-05, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 3 distinct procedure codes. The top code (G2067 (Medication-assisted treatment, opioid use disorder, per month)) accounts for 95% of total spending.
$266K
2,803 claims
$94.76
$73.29
Medication-assisted treatment, opioid use disorder, per month
$266K
2,803 claims · 95.3%
$10K
197 claims
$52.55
$25.06
Office/outpatient visit, low complexity
$10K
197 claims · 3.7%
$3K
684 claims
$4.23
$18.95
Alcohol/drug services; methadone administration
$3K
684 claims · 1.0%