PIONEER GUEST HOME II, INC
NPI: 1235577115
· ENTERPRISE, OR 97828
· Mental Illness Community Based Residential Treatment Facility
· NPI assigned 06/12/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1020 with only 1 total codes billed. Highly concentrated billing profile.
$2.92M
Total Medicaid Paid
Provider Details
| Authorized Official | RODDEY, RANDALL (LICENSED ADMINISTRATOR) |
| NPI Enumeration Date | 06/12/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
990 |
$783K |
| 2019 |
870 |
$955K |
| 2020 |
850 |
$1.18M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1020 |
Personal 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) |
2,710 |
547 |
$2.92M |