Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › CLINTON TWP › PIONEER MEDICAL ASSOCIATES P.C.

PIONEER MEDICAL ASSOCIATES P.C.

NPI: 1093296592 · CLINTON TWP, MI 48038 · Cardiovascular Disease Physician · NPI assigned 08/23/2018

$2.95M
Total Medicaid Paid
88,505
Total Claims
75,284
Beneficiaries
82
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialIBRAHIM, GHAITH (PRESIDENT)
NPI Enumeration Date08/23/2018

Related Entities

Other providers sharing the same authorized official: IBRAHIM, GHAITH

ProviderCityStateTotal Paid
WARREN GASTROENTEROLOGY PC WARREN MI $314K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 7,660 $235K
2020 11,873 $369K
2021 16,120 $479K
2022 18,630 $547K
2023 20,727 $751K
2024 13,495 $565K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,607 15,683 $884K
99232 Subsequent hospital care, per day, moderate complexity 11,145 3,178 $458K
99223 Prolong inpt eval add15 m 3,611 3,116 $379K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,186 3,089 $220K
99233 Prolong inpt eval add15 m 2,314 973 $153K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,646 1,623 $143K
99222 Initial hospital care, per day, moderate complexity 1,755 1,534 $129K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,330 1,318 $106K
99238 Hospital discharge day management, 30 minutes or less 1,546 1,475 $66K
99284 Emergency department visit for the evaluation and management, high severity 699 665 $49K
99385 382 378 $36K
99308 Subsequent nursing facility care, per day, straightforward 1,126 1,019 $33K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 812 783 $30K
92552 1,399 1,391 $27K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,129 422 $23K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,694 1,682 $18K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 189 188 $16K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 210 209 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,391 2,226 $13K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 217 217 $12K
90756 467 463 $12K
36415 Collection of venous blood by venipuncture 5,574 5,425 $11K
99386 76 76 $9K
43235 411 398 $8K
71046 Radiologic examination, chest; 2 views 436 423 $8K
81025 1,060 1,049 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 85 85 $6K
93000 847 832 $6K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 124 123 $5K
83036 Hemoglobin; glycosylated (A1C) 1,250 1,207 $5K
90472 Immunization administration, each additional vaccine (list separately) 306 301 $5K
80061 Lipid panel 1,042 1,006 $5K
99304 117 111 $4K
90686 283 280 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,246 1,206 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 53 52 $4K
99442 179 172 $3K
82947 1,381 1,314 $3K
90661 109 108 $3K
84443 Thyroid stimulating hormone (TSH) 626 611 $2K
80053 Comprehensive metabolic panel 575 563 $2K
85018 991 987 $2K
99497 41 40 $1K
45380 Colonoscopy, flexible; with biopsy, single or multiple 14 14 $1K
93978 13 13 $1K
99384 12 12 $1K
81003 735 724 $1K
80051 533 500 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13 13 $1K
83735 541 530 $1K
99234 15 15 $867.75
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 865 800 $790.16
76700 Ultrasound, abdominal, real time with image documentation; complete 13 13 $766.45
90688 47 45 $717.89
82565 467 438 $671.28
84520 537 509 $623.78
84100 482 474 $620.74
84550 511 502 $583.72
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 268 253 $507.96
81000 138 137 $426.32
81002 145 140 $339.28
99443 16 16 $338.70
90674 36 36 $300.00
90694 12 12 $218.36
94060 12 12 $159.46
82607 82 78 $68.82
G0008 Administration of influenza virus vaccine 29 29 $48.39
84439 59 54 $32.88
84480 14 14 $23.48
J1885 Injection, ketorolac tromethamine, per 15 mg 13 12 $7.71
3074F 3,854 3,727 $7.52
3078F 2,730 2,666 $5.43
3079F 2,363 2,309 $4.66
3075F 960 946 $2.00
3077F 810 793 $1.81
3080F 558 540 $1.03
94760 68 68 $0.53
84450 12 12 $0.41
3048F 38 32 $0.02
3044F 774 746 $0.00
90734 28 28 $0.00
90687 21 21 $0.00