Physician
Pioneer Spine and Sports Physicians PC
Pioneer Spine and Sports Physicians PC was paid $1.55M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoPIONEER SPINE AND SPORTS PHYSICIANS PC
WEST SPRINGFIELD, MA 01089
WEST SPRINGFIELD, MA 01089
33aNPI1346282621assigned 06/12/2006
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$1.55M
24GClaims42,652
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in Massachusetts
Rank by total paid#2 of 63
Median peer was paid$20K
This provider vs. median76×
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 | 5,755 | $248K | |
| 2019 | 5,385 | $231K | |
| 2020 | 4,679 | $168K | |
| 2021 | 7,374 | $223K | |
| 2022 | 7,224 | $251K | |
| 2023 | 7,083 | $254K | |
| 2024incomplete | 5,152 | $172K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 43% | 11,819 | 11,461 | $660K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 10,580 | 10,295 | $415K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 14% | 2,351 | 2,336 | $216K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 9.2% | 7,895 | 4,234 | $142K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 960 | 935 | $23K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1.4% | 2,853 | 2,786 | $22K |
| 62323 | 1.1% | 227 | 227 | $18K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 1,031 | 576 | $14K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 286 | 105 | $9K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 577 | 570 | $6K |
| 64493 | <1% | 37 | 37 | $4K | |
| 97010 | <1% | 965 | 520 | $3K |
19 more codes
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 440 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 86 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 14 | $2K |
| 64483 | <1% | 14 | $1K | |
| 95886 | <1% | 21 | $1K | |
| 80305 | <1% | 186 | $746.48 | |
| 97162 | <1% | 12 | $715.60 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $684.90 |
| 64494 | <1% | 12 | $622.02 | |
| Q9958 | High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml | <1% | 311 | $518.13 |
| 99442 | <1% | 31 | $482.88 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 30 | $434.61 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 12 | $411.60 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 299 | $358.25 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 104 | $297.62 |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | <1% | 92 | $270.53 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 27 | $57.65 |
| J3490 | Unclassified drugs | 0% | 27 | $0.00 |
| 99072 | 0% | 1,340 | $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 officialPAASCH, RONALD (PRESIDENT/CFO)
| Provider | Location | Paid |
|---|---|---|
| Pioneer Spine and Sports Physicians, PC | West Springfield, MA | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.