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Pinnacle Treatment Centers Nj Iii LLC

Clinic/Center, Recovery Care·Pennsville, NJ·NPI: 1851902787SharePrint ReportML Risk: 85%

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  • 📊Billing stopped in 2023-05, suggesting this provider is no longer active in Medicaid.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

2022
$158K
-24%
2023
$121K

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.

G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$266K

2,803 claims · 95.3%

Your Cost: $94.76/claim|Median: $73.29
1.3× median
99212Top 25%

Office/outpatient visit, low complexity

$10K

197 claims · 3.7%

Your Cost: $52.55/claim|Median: $25.06
2.1× median
H0020Normal range

Alcohol/drug services; methadone administration

$3K

684 claims · 1.0%

Your Cost: $4.23/claim|Median: $18.95
0.2× median