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NPI 1336630482 · Zanesville, OH · Methadone Clinic
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Pinnacle Treatment Centers Oh-iv, LLC is a methadone clinic provider located in Zanesville, Ohio. This profile covers 2 Medicare and 16 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Pinnacle Treatment Centers Oh-iv, LLC |
| Address | 1590 Coal Run Road, |
| City | Zanesville |
| State | OH |
| ZIP | 43701 |
| Taxonomy | Methadone Clinic |
| NPI Enumerated | May 24, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.1M |
| Medicare | $123.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 500 | $230 | $116K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 190 | $40 | $7.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 28,560 | $100 | $2.8M |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 17,190 | $30 | $464.2K |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | 1,640 | $200 | $322.5K |
| 90832 | 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… | 3,460 | $50 | $162.4K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 7,870 | $10 | $110.2K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,270 | $80 | $103.7K |
| H0006 | Alcohol and/or drug services; case management | 1,840 | $30 | $62.7K |
| 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… | 510 | $100 | $49K |
| 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… | 510 | $70 | $33.1K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 120 | $110 | $12.9K |
Showing 1–10 of 16
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
16 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | 24 | 40 | 2,350 | $140 | $4.4M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 40 | 120 | 7,190 | $30 | $2.6M |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 10 | 40 | 5,650 | $20 | $435.4K |
| 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… | 1,410 | 2,640 | 620 | $90 | $408.2K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,941 | 5,080 | 560 | $40 | $323.9K |
| H0006 | Alcohol and/or drug services; case management | 220 | 710 | 520 | $50 | $307.3K |
| H0038 | Self‑help/peer services, per 15 minutes | 186 | 230 | 560 | $60 | $194.2K |
| T1003 | Lpn/lvn services, up to 15 minutes | 217 | 240 | 960 | $30 | $155.6K |
| 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… | 539 | 1,320 | 290 | $50 | $148.6K |
| 90832 | 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… | 263 | 1,320 | 450 | $40 | $139.1K |
Showing 1–10 of 16
Other providers in the same ZIP code as Pinnacle Treatment Centers Oh-iv, LLC, ranked by combined Medicare and Medicaid revenue.
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