Residential
Pioneer Resources, INC.
Pioneer Resources, INC. was paid $28.95M by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is T1020, help at home with daily living, billed per day — 38% of everything it billed.
33Billing provider infoPIONEER RESOURCES, INC.
MUSKEGON, MI 49442
MUSKEGON, MI 49442
33aNPI1245478056assigned 02/02/2009
33bProvider typeIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
28Total paid$28.95M
24GClaims178,641
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Michigan
Rank by total paid#7 of 48
Median peer was paid$7.84M
This provider vs. median3.7×
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 | 52,819 | $4.88M | |
| 2019 | 39,665 | $4.30M | |
| 2020 | 8,854 | $3.52M | |
| 2021 | 8,631 | $3.98M | |
| 2022 | 20,474 | $4.36M | |
| 2023 | 27,293 | $4.46M | |
| 2024incomplete | 20,905 | $3.46M |
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) | 38% | 28,880 | 2,404 | $10.89M |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 26% | 28,878 | 2,403 | $7.40M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 19% | 60,794 | 3,545 | $5.58M |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 5.1% | 22,371 | 3,002 | $1.49M |
| H2014 | Skills training and development, per 15 minutes | 4.6% | 14,012 | 1,599 | $1.34M |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 3.3% | 6,703 | 568 | $964K |
| S9976 | Lodging, per diem, not otherwise classified | <1% | 9,309 | 311 | $264K |
| 0365T | <1% | 2,738 | 257 | $229K | |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | <1% | 1,925 | 392 | $205K |
| H2025 | Ongoing support to maintain employment, per 15 minutes | <1% | 266 | 145 | $124K |
| T1016 | Case management, each 15 minutes | <1% | 387 | 279 | $82K |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | <1% | 88 | 36 | $74K |
23 more codes
| T1017 | Case management, billed per 15 minutes | <1% | 212 | $61K |
| H0031 | Mental health assessment, by non-physician | <1% | 159 | $57K |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | <1% | 51 | $31K |
| H2023 | Supported employment, per 15 minutes | <1% | 137 | $28K |
| 0369T | <1% | 353 | $26K | |
| 0364T | <1% | 617 | $19K | |
| 90837 | Psychotherapy session, about an hour | <1% | 88 | $14K |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | <1% | 54 | $13K |
| T1002 | Rn services, up to 15 minutes | <1% | 42 | $12K |
| H0032 | Mental health service plan development by non-physician | <1% | 36 | $8K |
| 97156 | <1% | 138 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 44 | $7K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 27 | $7K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 25 | $5K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 31 | $5K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 21 | $4K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 58 | $4K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 34 | $3K |
| 0370T | <1% | 30 | $3K | |
| T1005 | Respite care services, up to 15 minutes | <1% | 54 | $2K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 15 | $1K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 14 | $935.90 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 50 | $260.50 |
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 officialBONTHUIS, JILL (CEO)