Pioneer Spine and Sports Physicians, PC
Pioneer Spine and Sports Physicians, PC was paid $18K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 97140, Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) — 98% of everything it billed.
WEST SPRINGFIELD, MA 01089
Next to other Physical Therapist providers in Massachusetts
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,215 | $4K | |
| 2019 | 758 | $3K | |
| 2020 | 88 | $325.66 | |
| 2021 | 377 | $1K | |
| 2022 | 323 | $2K | |
| 2023 | 629 | $3K | |
| 2024incomplete | 853 | $6K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 98% | 3,927 | 2,081 | $17K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 44 | 24 | $110.24 |
| 97010 | <1% | 242 | 148 | $98.70 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 18 | 13 | $64.08 |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 12 | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Pioneer Spine and Sports Physicians PC | West Springfield, MA | $1.55M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.