Pioneer Health Care LLC

Pioneer Health Care LLC was paid $12.21M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 42% of everything it billed.

33Billing provider infoPIONEER HEALTH CARE LLC
LAS VEGAS, NV 89102

33aNPI1588681332assigned 07/17/2006

33bProvider typeFamily Medicine Physician

28Total paid$12.21M

24GClaims159,869

24DCodes billed25

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Nevada

Rank by total paid#4 of 388

Median peer was paid$27K

This provider vs. median459×

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	6,726	$262K
2019	37,037	$2.87M
2020	32,805	$2.55M
2021	27,993	$2.08M
2022	23,771	$1.77M
2023	19,264	$1.64M
2024incomplete	12,273	$1.05M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	42%	72,679	21,412	$5.15M
99223	Prolong inpt eval add15 m	26%	20,968	19,490	$3.13M
99239	Hospital discharge day management, more than 30 minutes	14%	21,756	20,097	$1.69M
99309	Subsequent nursing facility care, per day, low to moderate complexity	4.6%	16,721	4,276	$560K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.8%	8,239	2,956	$459K
99310	Prolong nursin fac eval 15m	2.7%	5,029	1,859	$331K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	2.1%	1,296	435	$259K
99222	Initial hospital care, per day, moderate complexity	2.0%	2,093	1,998	$240K
99220		<1%	827	775	$121K
99308	Subsequent nursing facility care, per day, straightforward	<1%	3,022	1,454	$67K
99217		<1%	735	696	$44K
99226		<1%	401	218	$36K

13 more codes

99306	Prolong nursin fac eval 15m	<1%	214	$26K
99221		<1%	382	$22K
99316		<1%	491	$21K
99236	Prolong inpt eval add15 m	<1%	98	$18K
99238	Hospital discharge day management, 30 minutes or less	<1%	254	$16K
99497		<1%	2,837	$13K
99307		<1%	586	$5K
99292		<1%	25	$2K
99334		<1%	104	$2K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	46	$1K
99336		<1%	19	$573.08
99406		<1%	34	$262.87
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	1,013	$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 officialSABIR, MUHAMMAD (MANAGING PARTNER)