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PINNACLE TREATMENT CENTERS KY-1, LLC

Substance Abuse Rehabilitation Facility·ELIZABETHTOWN, KY·NPI: 1881063287Share

Compared to Substance Abuse Rehabilitation Facility Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $33.6M is at the 50th percentile among 20 Substance Abuse Rehabilitation Facility providers.

Active Billing Period:2020-082024-12(53 months)

Total Paid

$33.6M

$33,616,104

Total Claims

131K

Beneficiaries

12K

11.2 claims/patient

Avg Cost/Claim

$257

Monthly Spending Trend

Yearly Spending

2020
$2.6M
+234%
2021
$8.8M
+7%
2022
$9.4M
-6%
2023
$8.9M
-56%
2024
$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (H0011 (Alcohol and/or drug services, acute detoxification, per diem)) accounts for 75% of total spending.

H0011Normal range

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

$25.2M

80K claims · 74.9%

Your Cost: $312.69/claim|Median: $317.54
1.0× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$7.9M

45K claims · 23.5%

Your Cost: $177.88/claim|Median: $148.53
1.2× median
H0015Normal range

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

$350K

2,425 claims · 1.0%

Your Cost: $144.44/claim|Median: $129.75
1.1× median
T2023Normal range

Community transition, waiver; per service

$138K

535 claims · 0.4%

Your Cost: $258.63/claim|Median: $300.13
0.9× median
H0038Normal range

Self-help/peer services, per 15 minutes

$41K

2,899 claims · 0.1%

Your Cost: $14.20/claim|Median: $55.04
0.3× median