Pioneer Human Services

Pioneer Human Services was paid $6.62M by Medicaid between Jan 2018 and Jan 2023, across 10 billing codes. Its largest line is H0018, Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem — 92% of everything it billed.

33Billing provider infoPIONEER HUMAN SERVICES
SEDRO-WOOLLEY, WA 98284

33aNPI1073739207assigned 04/17/2007

33bProvider typeSubstance Abuse Rehabilitation Facility

28Total paid$6.62M

24GClaims18,728

24DCodes billed10

24AFirst – last monthJan 2018 – Jan 2023

Compared with peers

Next to other Substance Abuse Rehabilitation Facility providers in Washington

Rank by total paid#14 of 48

Median peer was paid$1.68M

This provider vs. median3.9×

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	4,548	$162K
2019	2,955	$1.27M
2020	2,404	$1.84M
2021	2,169	$1.31M
2022	6,380	$2.04M
2023	272	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	92%	11,704	2,185	$6.06M
H2036	Alcohol and/or other drug treatment program, per diem	4.5%	1,509	1,413	$296K
H0019	Behavioral 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 diem	2.0%	4,264	250	$135K
H0043	Supported housing, per diem	1.9%	1,124	258	$124K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	<1%	31	30	$3K
80053	Comprehensive metabolic panel	<1%	23	23	$429.89
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	28	26	$238.84
36415	Collection of venous blood by venipuncture	<1%	20	20	$114.25
83690		<1%	12	12	$103.76
85610		<1%	13	12	$4.94

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 officialWOOLWORTH, STEVE (VICE PRESIDENT, TREATMENT & REENTRY)

Same official

Other billing entities under WOOLWORTH, STEVE

Full network →

Provider	Location	Paid
Pioneer Human Services	Spokane, WA	$15.51M
Pioneer Human Services	Spokane, WA	$8.62M
Pioneer Human Services	Bellingham, WA	$480K
Skagit County Crisis Center	Burlington, WA	$215K
Pioneer Human Services	Seattle, WA	$178K
Pioneer Human Services	Tacoma, WA	$168K
Pioneer Human Services	Burlington, WA	$27K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.