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

Why is the Medicaid comparison limited to Indiana 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. Indiana (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 In-1, LLC D/b/a Recovery Works Merrillville (NPI 1326494758)

Field	Value
Entity Type	Organization
Organization	Pinnacle Treatment Centers In-1, LLC D/b/a Recovery Works Merrillville
Address	201 W 89th Ave
City	Merrillville
State	IN
ZIP	46410
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	May 4, 2016

Payer Source	Total Paid
Medicaid	$43.1M
Medicare	$0

Key Findings

This provider’s Medicaid billing is overwhelmingly driven by residential sub-acute detox services: H0010 accounts for $38M in revenue (88.2% of this provider's total Medicaid revenue) across 93.5K claims with a $407 avg paid/claim, indicating a core operation built around inpatient/residential addiction treatment. The presence of substantial H0035 partial hospitalization ($4.2M, 17.5K claims, $242 avg/claim) and H0015 intensive outpatient ($798.2K, 5.7K claims, $141 avg/claim) revenues shows the provider also operates structured outpatient programs that complement the residential detox line.

Revenue concentration is extreme: the top 3 Medicaid codes by revenue account for 99.9% of this provider's total Medicaid revenue, and total Medicaid revenue on file is $43.1M, signaling heavy dependence on a very small set of service lines for nearly all reported income. This concentration implies that changes to reimbursement or utilization for any of those codes, especially H0010, would materially affect overall revenue.

Payer mix is effectively single-payer Medicaid: there is no Medicare billing on file, and Medicaid is the only recorded source of the provider’s $43.1M lifetime revenue, which means the organization’s financial performance is tightly coupled to Medicaid policy and contracting. With no Medicare activity reported, analysts should treat this entity as Medicaid-centric when modeling payer risk or market reach.

Competitive standing for the dominant code H0010 is strong within the state: the provider ranks #6 of 57 in-state (91th percentile) for H0010 volume, placing it in the upper tier of residential detox capacity among peers even though the precomputed label classifies that volume as "typical, unremarkable." That rank combined with the large absolute revenue and claim count suggests the provider is a major in-state participant for sub-acute detox services.

For complementary service lines, the provider shows solid but not monopolistic positions: H0035 ranks #6 of 21 (75th percentile) and H0015 ranks #14 of 69 (81th percentile), both labeled "typical, unremarkable volume," indicating consistent, above-median participation in partial hospitalization and intensive outpatient program markets but not statewide dominance. H0038 is marginal ($23.9K, 2.2K claims, $11 avg/claim; rank #25 of 82, 70th percentile) and represents a very small fraction of revenue.

Across its reported Medicaid codes, the dataset flags no statistical outliers; each top code is described as "typical, unremarkable volume" despite the provider’s high absolute volume in H0010. In other words, utilization patterns fall within expected ranges for in-state peers rather than showing anomalous or exceptional billing behavior.

The provider has an NPI enumeration date of 2016-05-04 (~10 years ago), indicating roughly a decade of recorded Medicaid activity; that tenure is consistent with established program lines (residential detox plus outpatient services) and supports the observed, concentrated revenue profile. Analysts should interpret historical stability in claims counts and revenue as likely reflective of an established treatment footprint rather than a new entrant.

Operationally and financially, the combination of a single dominant code (H0010) and no Medicare presence suggests both specialization and vulnerability: the business appears optimized for Medicaid-funded residential detox and associated outpatient services, so shifts in Medicaid reimbursement, authorization policy, or utilization management for H0010/H0035/H0015 could materially affect the provider’s $43.1M Medicaid revenue base. Monitoring state-level policy changes for these codes should be a priority for payers and competitors assessing risk and capacity.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	93,470	$410	$38M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	17,540	$240	$4.2M
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…	5,660	$140	$798.2K
H0038	Self‑help/peer services, per 15 minutes	2,170	$10	$23.9K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Pinnacle Treatment Centers In-1, LLC D/b/a Recovery Works Merrillville — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	6	60	23,940	$380	$12.8M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	6	20	5,840	$200	$2.1M
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…	14	70	1,520	$100	$429.2K
H0038	Self‑help/peer services, per 15 minutes	25	80	1,080	$60	$219.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pinnacle Treatment Centers In-1, LLC D/b/a Recovery Works Merrillville, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pinnacletreatment Centers In-1, LLC	IN	Substance Abuse Rehabilitation Facility	$0	$62.5M
Pinnacle Treatment Centers In-i, LLC	IN	Substance Abuse Rehabilitation Facility	$0	$20.8M
Chijioke Kalu	IN	Family Medicine Physician	$89.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Help At Home, LLC	IN	Home Health Agency	$0	$207.5M
Southlake Community Mental Health Center Inc.	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$29.2M
Southlake Community Mental Health Center Inc.	IN	Psychiatric Hospital	$0	$22.6M
Innovations In Learning, PC	IN	Behavior Analyst	$0	$15.1M
Southlake Community Mental Health Center Inc.	IN	Clinic/Center	$0	$14M
Robert W Moses O.d. Professional Corporation	IN	Optometrist	$0	$13.4M
All Family Dental & Braces, LLC.	IN	General Practice Dentistry	$0	$12.1M
Northshore Health Centers, Inc.	IN	Federally Qualified Health Center (FQHC)	$0	$10.9M
Belvedere Slf LLC	IN	Assisted Living Facility	$0	$10.1M
Tradewinds Services, Inc.	IN	Developmentally Disabled Services Day Training Agency	$0	$7.6M

Pinnacle Treatment Centers In-1, LLC D/b/a Recovery Works Merrillville — Billing Profile & Reimbursement Data

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Pinnacle Treatment Centers In-1, LLC D/b/a Recovery Works Merrillville — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References