Physician
Pioneer Provider Network
Pioneer Provider Network was paid $68K by Medicaid between Jan 2018 and Oct 2018, across 145 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 16% of everything it billed.
33Billing provider infoPIONEER PROVIDER NETWORK
LAKEWOOD, CA 90712
LAKEWOOD, CA 90712
33aNPI1528260643assigned 06/01/2007
33bProvider typeFamily Medicine Physician
28Total paid$68K
24GClaims64,916
24DCodes billed145
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#734 of 2,511
Median peer was paid$13K
This provider vs. median5.3×
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 | 64,916 | $68K |
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 | 16% | 20,136 | 18,671 | $11K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 9.3% | 318 | 253 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.8% | 384 | 372 | $5K |
| 67028 | Intravitreal injection of a pharmacologic agent | 6.9% | 36 | 24 | $5K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 6.5% | 57 | 54 | $4K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 6.4% | 218 | 162 | $4K |
| 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 | 5.1% | 1,037 | 998 | $3K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 4.5% | 311 | 108 | $3K |
| 97014 | 3.8% | 257 | 79 | $3K | |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 2.8% | 28 | 28 | $2K |
| 3074F | 2.6% | 156 | 148 | $2K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 2.6% | 561 | 554 | $2K |
133 more codes
| 3008F | 2.5% | 219 | $2K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 2.0% | 671 | $1K |
| 80053 | Comprehensive metabolic panel | 1.9% | 3,005 | $1K |
| 97161 | 1.7% | 26 | $1K | |
| 3078F | 1.6% | 73 | $1K | |
| 99283 | Emergency room visit (moderate) | 1.5% | 28 | $1K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.4% | 213 | $975.00 |
| 76642 | 1.1% | 46 | $750.00 | |
| 99223 | Prolong inpt eval add15 m | 1.0% | 14 | $691.37 |
| 3079F | 1.0% | 28 | $684.60 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 540 | $669.92 |
| 87510 | <1% | 18 | $668.52 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,352 | $624.31 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 161 | $522.62 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 46 | $510.10 |
| 94760 | <1% | 181 | $372.30 | |
| 87480 | <1% | 18 | $371.40 | |
| 71045 | Radiologic examination, chest; single view | <1% | 86 | $319.86 |
| 87660 | <1% | 18 | $299.03 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,342 | $228.00 |
| 80061 | Lipid panel | <1% | 2,112 | $223.20 |
| 81001 | <1% | 218 | $200.50 | |
| 90670 | <1% | 385 | $197.10 | |
| J3490 | Unclassified drugs | <1% | 73 | $153.90 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,321 | $142.60 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 414 | $119.68 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 150 | $114.78 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,250 | $110.96 |
| 82043 | <1% | 259 | $88.45 | |
| 83013 | <1% | 20 | $60.71 | |
| 85610 | <1% | 52 | $47.37 | |
| 99000 | <1% | 6,466 | $43.56 | |
| 87081 | <1% | 19 | $43.33 | |
| 82962 | <1% | 338 | $39.50 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,519 | $34.07 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 212 | $32.63 |
| 82746 | <1% | 31 | $26.58 | |
| 82607 | <1% | 32 | $26.46 | |
| 81002 | <1% | 3,011 | $25.59 | |
| 85027 | <1% | 921 | $24.80 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 145 | $24.79 |
| 84484 | <1% | 32 | $17.43 | |
| 83690 | <1% | 14 | $16.52 | |
| 81003 | <1% | 12 | $15.89 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 106 | $9.92 |
| 84550 | <1% | 13 | $9.42 | |
| 80076 | <1% | 23 | $5.82 | |
| 81025 | <1% | 102 | $2.03 | |
| 73562 | 0% | 200 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 130 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 471 | $0.00 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 100 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 161 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 665 | $0.00 |
| 85007 | 0% | 58 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 854 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 545 | $0.00 |
| 72100 | 0% | 137 | $0.00 | |
| 83540 | 0% | 51 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 349 | $0.00 |
| 83655 | 0% | 299 | $0.00 | |
| 99173 | 0% | 1,727 | $0.00 | |
| 73630 | 0% | 207 | $0.00 | |
| 82465 | 0% | 276 | $0.00 | |
| 92134 | 0% | 33 | $0.00 | |
| 73610 | 0% | 60 | $0.00 | |
| 86003 | 0% | 20 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 71 | $0.00 |
| 73110 | 0% | 29 | $0.00 | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 0% | 37 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 25 | $0.00 |
| 82570 | 0% | 255 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 84439 | 0% | 29 | $0.00 | |
| 82248 | 0% | 92 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 39 | $0.00 |
| 82274 | 0% | 50 | $0.00 | |
| 73130 | 0% | 65 | $0.00 | |
| 87186 | 0% | 33 | $0.00 | |
| 90715 | 0% | 12 | $0.00 | |
| 90734 | 0% | 29 | $0.00 | |
| 99222 | Initial hospital care, per day, moderate complexity | 0% | 58 | $0.00 |
| 82947 | 0% | 12 | $0.00 | |
| 90633 | 0% | 36 | $0.00 | |
| 74018 | 0% | 14 | $0.00 | |
| J9035 | Injection, bevacizumab, 10 mg | 0% | 17 | $0.00 |
| 73140 | 0% | 12 | $0.00 | |
| 73030 | 0% | 31 | $0.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 44 | $0.00 |
| 84403 | 0% | 12 | $0.00 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 12 | $0.00 |
| 86038 | 0% | 16 | $0.00 | |
| 82785 | 0% | 14 | $0.00 | |
| 90651 | 0% | 111 | $0.00 | |
| 90698 | 0% | 170 | $0.00 | |
| 88142 | 0% | 77 | $0.00 | |
| 85018 | 0% | 1,296 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 225 | $0.00 |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 43 | $0.00 |
| 90688 | 0% | 243 | $0.00 | |
| 92551 | 0% | 1,504 | $0.00 | |
| 87070 | 0% | 12 | $0.00 | |
| 92227 | 0% | 39 | $0.00 | |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 0% | 13 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 28 | $0.00 |
| 99024 | 0% | 334 | $0.00 | |
| 90744 | 0% | 38 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 149 | $0.00 |
| 86592 | 0% | 92 | $0.00 | |
| 84479 | 0% | 32 | $0.00 | |
| 82550 | 0% | 63 | $0.00 | |
| 90680 | 0% | 104 | $0.00 | |
| 85652 | 0% | 34 | $0.00 | |
| 93000 | 0% | 328 | $0.00 | |
| 83002 | 0% | 14 | $0.00 | |
| 72040 | 0% | 24 | $0.00 | |
| 87088 | 0% | 88 | $0.00 | |
| 86580 | 0% | 143 | $0.00 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 65 | $0.00 |
| 87077 | 0% | 23 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 77 | $0.00 |
| 95115 | 0% | 79 | $0.00 | |
| 83550 | 0% | 51 | $0.00 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 0% | 15 | $0.00 |
| 90716 | 0% | 12 | $0.00 | |
| 86803 | 0% | 14 | $0.00 | |
| 73502 | 0% | 12 | $0.00 | |
| 85730 | 0% | 26 | $0.00 | |
| 82728 | 0% | 16 | $0.00 | |
| 84153 | 0% | 24 | $0.00 | |
| 86140 | 0% | 12 | $0.00 | |
| 84436 | 0% | 36 | $0.00 | |
| 83001 | 0% | 17 | $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 officialENG, BONNIE (PROVIDER RELATIONS MANAGER)