Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PIONEER HEALTH GROUP LLC

NPI: 1235585126 · LOUISA, KY 41230 · Clinical Medical Laboratory · NPI assigned 05/10/2016

$20.55M
Total Medicaid Paid
871,409
Total Claims
313,470
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROBINSON, TIMMY (CEO)
NPI Enumeration Date05/10/2016

Related Entities

Other providers sharing the same authorized official: ROBINSON, TIMMY

ProviderCityStateTotal Paid
ADDICTION RECOVERY CARE LLC LOUISA KY $308.96M
ADDICTION RECOVERY CARE LLC OWINGSVILLE KY $24.68M
SCIENCE HILL FAMILY CARE SCIENCE HILL KY $8.33M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,173 $194K
2019 110,712 $3.04M
2020 159,229 $4.60M
2021 111,710 $2.48M
2022 153,996 $3.41M
2023 175,273 $3.91M
2024 154,316 $2.92M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 299,119 95,855 $11.48M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 386,424 88,652 $5.12M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 46,640 26,869 $1.34M
99484 31,767 27,451 $763K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,725 5,244 $252K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 12,863 10,590 $244K
90792 Psychiatric diagnostic evaluation with medical services 3,314 2,797 $227K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 2,921 2,062 $211K
96156 3,849 3,557 $191K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,612 5,785 $190K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,882 2,553 $173K
80305 13,427 10,492 $104K
86580 14,094 12,062 $70K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 985 749 $62K
81025 12,508 9,380 $58K
98960 2,049 1,613 $20K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,372 992 $12K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 421 308 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 558 454 $6K
86703 455 334 $4K
99072 12,654 3,251 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 80 75 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 738 414 $3K
90791 Psychiatric diagnostic evaluation 28 28 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 81 72 $2K
82075 47 43 $987.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 76 71 $767.39
99215 Prolong outpt/office vis 20 14 $752.08
888888 5,700 1,703 $0.00