Pioneer Neurology and Sleep PC

Pioneer Neurology and Sleep PC was paid $152K by Medicaid between Jan 2018 and Dec 2021, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.

33Billing provider infoPIONEER NEUROLOGY AND SLEEP PC
SPRINGFIELD, MA 01104

33aNPI1124379714assigned 09/24/2012

33bProvider typeNeurology Physician

28Total paid$152K

24GClaims3,260

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2021

Compared with peers

Next to other Neurology Physician providers in Massachusetts

Rank by total paid#21 of 101

Median peer was paid$10K

This provider vs. median15×

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	764	$34K
2019	946	$44K
2020	674	$27K
2021	876	$47K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	64%	2,208	2,170	$98K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	19%	386	385	$29K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	6.9%	218	216	$10K
J0585	Injection, onabotulinumtoxina, 1 unit	4.3%	38	38	$7K
99443		2.3%	159	159	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.6%	72	72	$2K
99442		1.1%	121	121	$2K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	40	40	$393.23
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	18	18	$366.88

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 officialATHREYA, RANI (PRESIDENT)