Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pioneer Dermatology, LLC

Pioneer Dermatology, LLC was paid $271K by Medicaid between Jun 2018 and Nov 2024, across 8 billing codes. Its largest line is 10040, — 43% of everything it billed.

33Billing provider infoPIONEER DERMATOLOGY, LLC
NEW YORK, NY 10018
33aNPI1023442720assigned 08/29/2013
28Total paid$271K
24GClaims6,100
24DCodes billed8
24AFirst – last monthJun 2018 – Nov 2024
Compared with peers

Next to other Dermatopathology Physician providers in New York

Rank by total paid#7 of 16
Median peer was paid$48K
This provider vs. median5.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201829$2K
2019393$17K
20201,203$55K
20211,423$55K
20221,407$59K
20231,048$54K
2024incomplete597$30K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
10040 43% 1,222 1,098 $116K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34% 1,534 1,381 $92K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7.5% 221 216 $20K
11901 6.4% 485 433 $17K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6.3% 183 183 $17K
11900 2.6% 272 253 $7K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,404 1,248 $2K
17340 0% 779 702 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialLODHA, SAURABH (OWNER)