Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Kentucky for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Kentucky only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Kentucky (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Pinnacle Treatment Centers Ky-1,llc D/b/a Recovery Works Greenup (NPI 1265888697)

Field	Value
Entity Type	Organization
Organization	Pinnacle Treatment Centers Ky-1,llc D/b/a Recovery Works Greenup
Address	4632 State Route 1043
City	South Shore
State	KY
ZIP	41175
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	May 4, 2016

Payer Source	Total Paid
Medicaid	$10.4M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	17,040	$310	$5.3M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	14,230	$160	$2.2M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	5,770	$300	$1.7M
H0009	Alcohol and/or drug services; acute detoxification (hospital inpatient)	1,730	$360	$616.9K
H0035	Mental health partial hospitalization, treatment, less than 24 hours	2,390	$140	$331.7K
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	720	$210	$153.6K
H2036	Alcohol and/or other drug treatment program, per diem	260	$350	$90.6K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.

Claims Volume vs. Kentucky Distribution

Pinnacle Treatment Centers Ky-1,llc D/b/a Recovery Works Greenup — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	43	70	7,180	$270	$6.8M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	12	50	4,480	$220	$2.4M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	33	60	3,270	$170	$2.2M
H0009	Alcohol and/or drug services; acute detoxification (hospital inpatient)	3	10	1,700	$280	$1.2M
H2036	Alcohol and/or other drug treatment program, per diem	12	10	930	$420	$1M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	30	230	1,750	$110	$793.5K
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	4	10	350	$270	$224.6K

Nearby Providers

Other providers in the same ZIP code as Pinnacle Treatment Centers Ky-1,llc D/b/a Recovery Works Greenup, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pinnacle Treatment Centers Ky-1, LLC D/b/a Recovery Works Greenup	KY	Substance Abuse Rehabilitation Facility	$0	$23.4M
Gregory Hudson Md Inc	KY	Rural Health Clinic/Center	$0	$3.5M
Portsmouth Emergency Ambulance Service Inc	KY	Land Ambulance	$376K	$856K

Pinnacle Treatment Centers Ky-1,llc D/b/a Recovery Works Greenup — Billing Profile & Reimbursement Data

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Pinnacle Treatment Centers Ky-1,llc D/b/a Recovery Works Greenup — Billing Profile & Reimbursement Data

Sign up for Pinnacle Treatment Centers Ky-1,llc D/b/a Recovery Works Greenup — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References