Pioneer Medical Services INC
Pioneer Medical Services INC was paid $1.50M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 86% of everything it billed.
MAN, WV 25635
Next to other Customized Equipment (DME) providers in West Virginia
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,788 | $94K | |
| 2019 | 1,812 | $104K | |
| 2020 | 4,418 | $317K | |
| 2021 | 5,465 | $274K | |
| 2022 | 6,488 | $267K | |
| 2023 | 9,029 | $252K | |
| 2024incomplete | 4,827 | $196K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 86% | 20,373 | 17,880 | $1.29M |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 4.6% | 6,104 | 5,181 | $69K |
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | 3.9% | 144 | 118 | $59K |
| E0570 | Nebulizer, with compressor | 3.3% | 4,635 | 3,846 | $50K |
| E0601 | Continuous positive airway pressure (cpap) device | <1% | 723 | 540 | $14K |
| E0261 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress | <1% | 189 | 166 | $4K |
| K0001 | Standard wheelchair | <1% | 337 | 272 | $4K |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 214 | 137 | $4K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 371 | 260 | $3K |
| A7037 | Tubing used with positive airway pressure device | <1% | 147 | 121 | $1K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 249 | 189 | $420.27 |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 136 | 105 | $339.48 |
3 more codes
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Better Living Now INC | Hauppauge, NY | $59.51M |
| Lovejoy Medical INC | Hazard, KY | $4.60M |
| Oxygen Plus INC | Colorado Springs, CO | $4.26M |
| MMS Norfolk, INC. | Virginia Beach, VA | $3.53M |
| Distinct Home Health Care INC | Bossier City, LA | $3.49M |
| Acadia Home Care | Hampden, ME | $2.98M |
| Acadia Home Care | Presque Isle, ME | $2.70M |
| Allied Medical Supply INC | Flagstaff, AZ | $2.35M |
| Home Medical Systems INC | Fayetteville, NC | $2.19M |
| Professional Breathing Associates INC | West Branch, MI | $1.98M |
| Rotech Oxygen and Medical Equipment INC | Pensacola, FL | $1.70M |
| Home Medical Systems INC | High Point, NC | $1.55M |
| G & G Medical INC | Grand Junction, CO | $1.34M |
| Don Paul Respiratory Services INC | Windsor, CO | $1.32M |
| Home Care Oxygen Service INC | Duluth, MN | $1.30M |
| Distinct Home Health Care INC | Natchitoches, LA | $1.28M |
| Home Medical Systems INC | Whiteville, NC | $1.18M |
| Medco Professional Services Corp | Trinidad, CO | $1.08M |
| Don Paul Respiratory Services INC | Fort Morgan, CO | $1.07M |
| Rotech Oxygen and Medical Equipment INC | Gainesville, FL | $1.03M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.