Lab
Pioneer Physicians Network INC.
Pioneer Physicians Network INC. was paid $319K by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is 80061, Lipid panel — 20% of everything it billed.
33Billing provider infoPIONEER PHYSICIANS NETWORK INC.
TALLMADGE, OH 44278
TALLMADGE, OH 44278
33aNPI1467400929assigned 05/05/2006
33bProvider typeClinical Medical Laboratory
28Total paid$319K
24GClaims48,358
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Ohio
Rank by total paid#58 of 116
Median peer was paid$313K
This provider vs. median1.0×
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 | 4,359 | $42K | |
| 2019 | 5,005 | $40K | |
| 2020 | 6,147 | $40K | |
| 2021 | 6,507 | $42K | |
| 2022 | 8,680 | $51K | |
| 2023 | 10,522 | $67K | |
| 2024incomplete | 7,138 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80061 | Lipid panel | 20% | 8,743 | 7,641 | $65K |
| 80053 | Comprehensive metabolic panel | 14% | 7,598 | 6,597 | $45K |
| 84443 | Thyroid stimulating hormone (TSH) | 14% | 4,902 | 4,207 | $43K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 13% | 2,608 | 2,273 | $42K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 9.2% | 7,075 | 6,081 | $29K |
| 83036 | Hemoglobin; glycosylated (A1C) | 7.8% | 4,981 | 4,344 | $25K |
| 80050 | General health panel | 5.6% | 1,029 | 992 | $18K |
| 80048 | Basic metabolic panel (calcium, ionized) | 3.3% | 2,380 | 2,083 | $11K |
| 83721 | 2.3% | 2,054 | 1,805 | $7K | |
| 82607 | 2.2% | 851 | 717 | $7K | |
| 82728 | 1.8% | 759 | 662 | $6K | |
| 84439 | 1.3% | 847 | 714 | $4K |
14 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.
From NPPES
Who's on the registration
Authorized officialKOSTELNICK, KATHLEEN (PRACTICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Pioneer Physicians Network, INC. | Uniontown, OH | $697K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.