Pioneer Health Care , LLC

Pioneer Health Care , LLC was paid $915K by Medicaid between Jan 2018 and Dec 2024, across 75 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.

33Billing provider infoPIONEER HEALTH CARE , LLC
BASSFIELD, MS 39421

33aNPI1336384742assigned 12/14/2008

33bProvider typeGeneral Practice Physician

28Total paid$915K

24GClaims50,141

24DCodes billed75

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Physician providers in Mississippi

Rank by total paid#2 of 15

Median peer was paid$42K

This provider vs. median22×

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	6,963	$76K
2019	8,569	$135K
2020	8,929	$127K
2021	8,461	$127K
2022	9,083	$227K
2023	6,234	$157K
2024incomplete	1,902	$66K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	24%	5,079	3,837	$219K
99309	Subsequent nursing facility care, per day, low to moderate complexity	16%	12,839	7,094	$149K
99310	Prolong nursin fac eval 15m	11%	5,400	3,394	$103K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	8.5%	1,615	1,358	$77K
99336		6.7%	1,909	1,224	$61K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	5.9%	1,166	850	$54K
99487	Ccm add 20min	3.8%	6,077	5,933	$34K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.7%	620	482	$33K
99308	Subsequent nursing facility care, per day, straightforward	3.0%	2,653	2,078	$28K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	2.9%	1,153	847	$27K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	1.6%	638	507	$15K
99350	Prolong home eval add 15m	1.5%	334	251	$14K

63 more codes

99337		1.2%	153	$11K
99349		1.1%	284	$10K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	453	$8K
99490	Ccm add 20min	<1%	1,574	$7K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	<1%	520	$7K
99335		<1%	276	$6K
99306	Prolong nursin fac eval 15m	<1%	82	$5K
M0243	Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring	<1%	26	$4K
99358	Prolong nursin fac eval 15m	<1%	402	$3K
99382		<1%	137	$3K
G2063	Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 21 or more minutes	<1%	848	$3K
G0181	Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans	<1%	175	$3K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	320	$3K
99491	Ccm add 20min	<1%	188	$2K
99348		<1%	126	$2K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	28	$2K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	70	$2K
99328		<1%	13	$2K
99318		<1%	119	$2K
99327		<1%	23	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	60	$1K
92551		<1%	326	$1K
99215	Doctor's office visit, returning patient (complex)	<1%	19	$915.94
80051		<1%	368	$795.61
82550		<1%	325	$755.33
81007		<1%	191	$746.03
36415	Collection of venous blood by venipuncture	<1%	540	$557.90
82565		<1%	339	$553.61
82947		<1%	310	$462.04
90756		<1%	52	$455.80
84520		<1%	365	$442.07
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	65	$394.86
99483	Prolong outpt/office vis	<1%	71	$387.75
87428		<1%	13	$325.91
90674		<1%	17	$312.65
99307		<1%	49	$295.19
99173		<1%	327	$278.78
80061	Lipid panel	<1%	55	$252.48
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	32	$247.95
97597		<1%	43	$177.01
83655		<1%	193	$166.88
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	42	$156.19
85018		<1%	221	$78.68
G2061	Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 5-10 minutes	<1%	37	$73.63
0012A		<1%	15	$43.70
82977		<1%	15	$41.41
82150		<1%	14	$37.29
0011A		<1%	15	$33.88
99423		<1%	220	$31.36
84460		<1%	14	$30.47
S9088	Services provided in an urgent care center (list in addition to code for service)	<1%	18	$30.00
84450		<1%	14	$29.76
84075		<1%	14	$29.76
82247		<1%	14	$28.91
82040		<1%	14	$28.48
96160		<1%	13	$24.18
84155		<1%	14	$21.10
J7030	Infusion, normal saline solution , 1000 cc	<1%	15	$18.37
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	77	$15.38
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	26	$9.12
Q0244	Injection, casirivimab and imdevimab, 1200 mg	0%	13	$0.00
36416		0%	238	$0.00
G0008	Administration of influenza virus vaccine	0%	18	$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 officialMASSEY, BRAD (OWNER)