Physician
Pioneer Continuing Care Providers, PC
Pioneer Continuing Care Providers, PC was paid $309K by Medicaid between Jan 2018 and Aug 2019, across 10 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 63% of everything it billed.
33Billing provider infoPIONEER CONTINUING CARE PROVIDERS, PC
SPRINGFIELD, MA 01104
SPRINGFIELD, MA 01104
33aNPI1245615285assigned 07/20/2015
33bProvider typeFamily Medicine Physician
28Total paid$309K
24GClaims16,437
24DCodes billed10
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers
Next to other Family Medicine Physician providers in Massachusetts
Rank by total paid#65 of 744
Median peer was paid$10K
This provider vs. median30×
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 | 10,065 | $193K | |
| 2019 | 6,372 | $116K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 63% | 10,121 | 6,081 | $194K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 20% | 4,371 | 3,937 | $63K |
| 99310 | Prolong nursin fac eval 15m | 9.4% | 1,077 | 801 | $29K |
| 99305 | 2.7% | 276 | 273 | $8K | |
| 99306 | Prolong nursin fac eval 15m | 2.6% | 306 | 300 | $8K |
| 99316 | 1.1% | 91 | 91 | $3K | |
| 99318 | <1% | 52 | 52 | $1K | |
| 99307 | <1% | 114 | 99 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 15 | 15 | $943.57 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 14 | 14 | $0.00 |
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 officialMCDOUGALL, DAVID (PRESIDENT)