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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPinnacle Treatment Centers Ky-i, LLC
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    Pinnacle Treatment Centers Ky-i, LLC — Billing Profile & Reimbursement Data

    NPI 1710463435 · London, KY · Substance Abuse Rehabilitation Facility

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    Pinnacle Treatment Centers Ky-i, LLC is a substance abuse rehabilitation facility provider located in London, Kentucky. This profile covers 0 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPinnacle Treatment Centers Ky-i, LLC
    Address300 Carrera Drive
    CityLondon
    StateKY
    ZIP40741
    TaxonomySubstance Abuse Rehabilitation Facility
    NPI EnumeratedJuly 16, 2018

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$33.5M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0011Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem70,620$320$22.5M
    H0035Mental health partial hospitalization, treatment, less than 24 hours47,470$180$8.5M
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem7,830$240$1.9M
    T2023Targeted case management; per month740$290$214.1K
    H0009Alcohol and/or drug services; acute detoxification (hospital inpatient)730$180$132.9K
    H0038Self‑help/peer services, per 15 minutes6,460$20$122.8K
    H0019Behavioral 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 diem180$400$72.7K
    H0015Alcohol 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…430$150$64.5K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kentucky median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0011Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem9707,180$270$6.8M
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem19504,480$220$2.4M
    H0035Mental health partial hospitalization, treatment, less than 24 hours3603,270$170$2.2M
    H0009Alcohol and/or drug services; acute detoxification (hospital inpatient)6101,700$280$1.2M
    T2023Targeted case management; per month231530530$300$1.1M
    H0015Alcohol 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…1682301,750$110$793.5K
    H0038Self‑help/peer services, per 15 minutes1153203,070$50$678.3K
    H0019Behavioral 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 diem1210350$270$224.6K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Pinnacle Treatment Centers Ky-i, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pinnacle Treatment Centers Ky-1, LLCKYSubstance Abuse Rehabilitation Facility$0$33.6M
    Pinnacle Treatment Centers Ky-i, LLCKYSubstance Abuse Rehabilitation Facility$0$30.8M
    Pinnacle Treatment Centers Ky-1, LLC D/b/a Recovery Works GreenupKYSubstance Abuse Rehabilitation Facility$0$23.4M
    Pinnacle Treatment Centers Ky-i, LLCKYSubstance Abuse Rehabilitation Facility$0$23.4M
    Pinnacle Treatment Centers, LLC D/b/a Recovery Works PaducahKYSubstance Abuse Rehabilitation Facility$0$17.7M
    Kent DavisKYFamily Medicine Physician$80K$220.1K
    Tammy JohnsonKYFamily Nurse Practitioner$71.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saint Joseph Health System, IncKYRural Acute Care Hospital$0$83.7M
    Forever Care Dba Independent OpportunitiesKYIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$79M
    Brock Medical, LLCKYNurse Practitioner$0$63.5M
    Recover Together, Inc.KYAdult Mental Health Clinic/Center$0$36.6M
    London Women's Care, LLCKYObstetrics & Gynecology Physician$0$16M
    Inspired LivingKYIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$12M
    Rrj Solutions, LLCKYCommunity/Behavioral Health Agency$0$8.6M
    Cherished Care LLCKYInternal Medicine Physician$0$7M
    Fuse MedicalKYNurse Practitioner$0$7M
    New Hope Counseling And RecoveryKYMental Health Counselor$0$6.9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Kentucky Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    Pinnacle Treatment Centers Ky-i, LLC — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky