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, LLC D/b/a Recovery Works Paducah (NPI 1316372899)

Field	Value
Entity Type	Organization
Organization	Pinnacle Treatment Centers, LLC D/b/a Recovery Works Paducah
Address	4747 Old Dublin Rd
City	Mayfield
State	KY
ZIP	42066
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	September 4, 2013

Payer Source	Total Paid
Medicaid	$17.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	32,130	$270	$8.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	17,820	$290	$5.1M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	9,880	$160	$1.6M
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…	10,670	$150	$1.6M
H0009	Alcohol and/or drug services; acute detoxification (hospital inpatient)	1,010	$350	$353.5K
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	440	$440	$192.3K
H2036	Alcohol and/or other drug treatment program, per diem	280	$340	$93.5K
H0038	Self‑help/peer services, per 15 minutes	1,300	$20	$26.1K
T2023	Targeted case management; per month	60	$260	$15.7K

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, LLC D/b/a Recovery Works Paducah — 0 of 9 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

9 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	17	70	7,180	$270	$6.8M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	11	50	4,480	$220	$2.4M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	16	60	3,270	$170	$2.2M
H0009	Alcohol and/or drug services; acute detoxification (hospital inpatient)	5	10	1,700	$280	$1.2M
T2023	Targeted case management; per month	443	530	530	$300	$1.1M
H2036	Alcohol and/or other drug treatment program, per diem	11	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…	37	230	1,750	$110	$793.5K
H0038	Self‑help/peer services, per 15 minutes	195	320	3,070	$50	$678.3K
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	5	10	350	$270	$224.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pinnacle Treatment Centers, LLC D/b/a Recovery Works Paducah, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pinnacle Treatment Centers Ky-1, LLC	KY	Substance Abuse Rehabilitation Facility	$0	$33.6M
Pinnacle Treatment Centers Ky-i, LLC	KY	Substance Abuse Rehabilitation Facility	$0	$33.5M
Pinnacle Treatment Centers Ky-i, LLC	KY	Substance Abuse Rehabilitation Facility	$0	$30.8M
Pinnacle Treatment Centers Ky-1, LLC D/b/a Recovery Works Greenup	KY	Substance Abuse Rehabilitation Facility	$0	$23.4M
Pinnacle Treatment Centers Ky-i, LLC	KY	Substance Abuse Rehabilitation Facility	$0	$23.4M
Kent Davis	KY	Family Medicine Physician	$80K	$220.1K
Tammy Johnson	KY	Family Nurse Practitioner	$71.7K	$0

Nearby Providers

Other providers in the same ZIP code as Pinnacle Treatment Centers, LLC D/b/a Recovery Works Paducah, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pinelake Regional Hospital LLC	KY	Rural Acute Care Hospital	$0	$43.3M
Purchase Area Agency On Aging	KY	Supports Brokerage Agency	$0	$30M
Purchase Area Agency On Aging	KY	Supports Brokerage Agency	$0	$12.5M
Pinelake Physician Practice, LLC	KY	Internal Medicine Physician	$0	$4.6M
City Of Mayfield Office Of City Clerk	KY	Land Ambulance	$545.1K	$2M
Air Evac Ems Inc	KY	Air Ambulance	$772K	$828.9K
Tony Smith	KY	Optometrist	$32K	$273.2K
Richard Stone	KY	Family Medicine Physician	$240.7K	$1.6K
Roberto Dos Remedios	KY	Pulmonary Disease Physician	$220.5K	$0
Myra Irvin	KY	Internal Medicine Physician	$181K	$0

Pinnacle Treatment Centers, LLC D/b/a Recovery Works Paducah — Billing Profile & Reimbursement Data

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Pinnacle Treatment Centers, LLC D/b/a Recovery Works Paducah — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References