Residential
Pioneer Guest Home II, INC
Pioneer Guest Home II, INC was paid $2.92M by Medicaid between Jan 2018 and Dec 2020, across 1 billing code. Its largest line is T1020, help at home with daily living, billed per day — 100% of everything it billed.
33Billing provider infoPIONEER GUEST HOME II, INC
ENTERPRISE, OR 97828
ENTERPRISE, OR 97828
33aNPI1235577115assigned 06/12/2013
33bProvider typeMental Illness Community Based Residential Treatment Facility
28Total paid$2.92M
24GClaims2,710
24DCodes billed1
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Mental Illness Community Based Residential Treatment Facility providers in Oregon
Rank by total paid#16 of 37
Median peer was paid$2.31M
This provider vs. median1.3×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code T1020 with only 1 total codes billed. Highly concentrated billing profile.
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 | 990 | $783K | |
| 2019 | 870 | $955K | |
| 2020 | 850 | $1.18M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1020 | Help at home with daily living, billed per dayPersonal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 100% | 2,710 | 547 | $2.92M |
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 officialRODDEY, RANDALL (LICENSED ADMINISTRATOR)