Clinic
Pioneer Family Medicine and Urgent Care
Pioneer Family Medicine and Urgent Care was paid $138K by Medicaid between Mar 2023 and Dec 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoPIONEER FAMILY MEDICINE AND URGENT CARE
NORTONVILLE, KY 42442
NORTONVILLE, KY 42442
33aNPI1629794631assigned 10/12/2022
33bProvider typeUrgent Care Clinic/Center
28Total paid$138K
24GClaims4,564
24DCodes billed13
24AFirst – last monthMar 2023 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Kentucky
Rank by total paid#8 of 13
Median peer was paid$254K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2023 | 2,222 | $59K | |
| 2024incomplete | 2,342 | $80K |
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 | 55% | 2,035 | 1,462 | $77K |
| 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 | 27% | 738 | 604 | $37K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 5.7% | 374 | 345 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.6% | 325 | 302 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.3% | 649 | 530 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 152 | 120 | $2K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 43 | 40 | $822.52 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 26 | 25 | $815.24 |
| 87807 | <1% | 33 | 29 | $260.46 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 148 | 111 | $155.92 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | 13 | $113.40 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 14 | 14 | $91.89 |
1 more codes
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 14 | $13.24 |
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 officialDAVIS, AMY (APRN, OWNER)
| Provider | Location | Paid |
|---|---|---|
| Lawrence H. Beck DDS PC | Port Huron, MI | $3.30M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.