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 Ky-1, LLC D/b/a Recovery Works Greenup (NPI 1760922645)

Field	Value
Entity Type	Organization
Organization	Pinnacle Treatment Centers Ky-1, LLC D/b/a Recovery Works Greenup
Address	4634 State Route 1043
City	South Shore
State	KY
ZIP	41175
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	February 27, 2017

Payer Source	Total Paid
Medicaid	$23.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	46,560	$310	$14.4M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	40,950	$190	$7.6M
T2023	Targeted case management; per month	1,990	$310	$611.4K
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…	3,680	$140	$522K
H0038	Self‑help/peer services, per 15 minutes	9,930	$30	$297.8K

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 Ky-1, LLC D/b/a Recovery Works Greenup — 0 of 5 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

5 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	13	70	7,180	$270	$6.8M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	6	60	3,270	$170	$2.2M
T2023	Targeted case management; per month	148	530	530	$300	$1.1M
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…	75	230	1,750	$110	$793.5K
H0038	Self‑help/peer services, per 15 minutes	92	320	3,070	$50	$678.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pinnacle Treatment Centers Ky-1, LLC D/b/a Recovery Works Greenup, 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-i, LLC	KY	Substance Abuse Rehabilitation Facility	$0	$23.4M
Pinnacle Treatment Centers, LLC D/b/a Recovery Works Paducah	KY	Substance Abuse Rehabilitation Facility	$0	$17.7M
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 Ky-1, LLC D/b/a Recovery Works Greenup, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pinnacle Treatment Centers Ky-1,llc D/b/a Recovery Works Greenup	KY	Substance Abuse Rehabilitation Facility	$0	$10.4M
Gregory Hudson Md Inc	KY	Rural Health Clinic/Center	$0	$3.5M
Portsmouth Emergency Ambulance Service Inc	KY	Land Ambulance	$376K	$856K

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

Sign up for Pinnacle Treatment Centers Ky-1, LLC D/b/a Recovery Works Greenup — Billing Profile & Reimbursement Data policy alerts

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

Sign up for Pinnacle Treatment Centers Ky-1, LLC D/b/a Recovery Works Greenup — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References