Pioneer Hospitalists, PLLC

Pioneer Hospitalists, PLLC was paid $8.35M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 51% of everything it billed.

33Billing provider infoPIONEER HOSPITALISTS, PLLC
CHANDLER, AZ 85224

33aNPI1033177316assigned 05/03/2006

33bProvider typeInternal Medicine Physician

28Total paid$8.35M

24GClaims124,023

24DCodes billed18

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in Arizona

Rank by total paid#13 of 395

Median peer was paid$68K

This provider vs. median123×

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

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

Year	Claims	Paid
2018	14,377	$786K
2019	13,453	$758K
2020	13,581	$817K
2021	17,069	$1.21M
2022	21,727	$1.46M
2023	26,635	$1.96M
2024incomplete	17,181	$1.37M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	51%	68,039	26,796	$4.26M
99223	Prolong inpt eval add15 m	24%	17,503	16,866	$2.04M
99239	Hospital discharge day management, more than 30 minutes	14%	17,235	16,585	$1.16M
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	4.4%	8,808	4,074	$366K
99220		1.8%	1,687	1,608	$154K
99309	Subsequent nursing facility care, per day, low to moderate complexity	1.8%	3,793	1,717	$153K
99306	Prolong nursin fac eval 15m	1.1%	1,123	1,029	$88K
99222	Initial hospital care, per day, moderate complexity	<1%	633	602	$55K
99310	Prolong nursin fac eval 15m	<1%	453	197	$29K
99238	Hospital discharge day management, 30 minutes or less	<1%	551	545	$28K
99217		<1%	366	351	$17K
99308	Subsequent nursing facility care, per day, straightforward	<1%	202	125	$5K

6 more codes

99219		<1%	31	$2K
99226		<1%	19	$1K
99497		<1%	12	$462.44
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	3,517	$0.01
G8483	Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)	0%	25	$0.00
G8482	Influenza immunization administered or previously received	0%	26	$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 officialGRIFFIN, ANDREA (CREDENTIALIST)