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 Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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 Pa-v, LLC (NPI 1275765760)

Field	Value
Entity Type	Organization
Organization	Pinnacle Treatment Centers Pa-v, LLC
Address	1 Hospital Dr
City	Aliquippa
State	PA
ZIP	15001
Taxonomy	Methadone Clinic
NPI Enumerated	August 17, 2009

Payer Source	Total Paid
Medicaid	$7.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	43,530	$100	$4.4M
G9012	Other specified case management service not elsewhere classified	8,270	$270	$2.2M
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	5,210	$50	$281.2K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	13,650	$10	$177.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,100	$50	$49.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	40	$70	$3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Pinnacle Treatment Centers Pa-v, LLC — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	74	1,690	760	$170	$1.2M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	56	80	74,580	$10	$1.2M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	644	690	2,240	$80	$1M
G9012	Other specified case management service not elsewhere classified	20	320	770	$260	$758K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	304	560	1,400	$90	$485.7K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	135	980	310	$50	$136.6K

Nearby Providers

Other providers in the same ZIP code as Pinnacle Treatment Centers Pa-v, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gateway Rehabilitation Center	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$36.2M
Tucked With Care, LLC	PA	Home Health Agency	$0	$7.4M
Bryan Negrini	PA	Internal Medicine Physician	$27.6K	$941.8K
Western PA Surgery Center, Beaver County Branch, LLC	PA	Ambulatory Surgical Clinic/Center	$331.5K	$53.2K
James Young	PA	Physical Therapist	$87.1K	$0
Kevin Baskin	PA	Diagnostic Radiology Physician	$29.6K	$18.5K
Kasey Chapla	PA	Speech-Language Pathologist	$14.2K	$0
Abby Losco	PA	Physician Assistant	$12K	$0

Pinnacle Treatment Centers Pa-v, LLC — Billing Profile & Reimbursement Data

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Pinnacle Treatment Centers Pa-v, LLC — Billing Profile & Reimbursement Data

Sign up for Pinnacle Treatment Centers Pa-v, LLC — 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