Pioneer Medical Group, PL
Pioneer Medical Group, PL was paid $829K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 43% of everything it billed.
TEMPLE TERRACE, FL 33637
Next to other Neurology Physician providers in Florida
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,933 | $1K | |
| 2019 | 16,005 | $303K | |
| 2020 | 8,534 | $99K | |
| 2021 | 8,250 | $108K | |
| 2022 | 8,899 | $102K | |
| 2023 | 11,885 | $153K | |
| 2024incomplete | 10,115 | $62K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 43% | 16,588 | 5,840 | $354K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 17% | 25,401 | 12,918 | $141K |
| 99239 | Hospital discharge day management, more than 30 minutes | 7.8% | 1,718 | 1,415 | $65K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 6.8% | 8,956 | 5,086 | $57K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 5.4% | 784 | 557 | $45K |
| 99223 | Prolong inpt eval add15 m | 4.1% | 742 | 587 | $34K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.1% | 1,061 | 390 | $26K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.0% | 673 | 440 | $25K |
| 99307 | 2.6% | 6,329 | 3,561 | $22K | |
| 99221 | 2.3% | 680 | 467 | $19K | |
| 99305 | 1.7% | 958 | 652 | $14K | |
| 99306 | Prolong nursin fac eval 15m | 1.3% | 505 | 350 | $11K |
9 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 247 | $6K |
| 99219 | <1% | 114 | $5K | |
| 99217 | <1% | 98 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 232 | $2K |
| 99220 | <1% | 15 | $656.28 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 32 | $373.85 |
| 99335 | <1% | 15 | $229.01 | |
| 99406 | <1% | 461 | $168.20 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 12 | $0.01 |
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 |
|---|---|---|
| Ali Od and Patel Od Professional Optometric Corporation | Santa Maria, CA | $1.04M |
| Acclaim Dermatology LLC | Sugar Land, TX | $178K |
| Wecare Health PLLC | East Windsor, CT | $87K |
| Syed T Ali MD PLLC | Las Vegas, NV | $78K |
| Kidney Care of Dallas PLLC | Dallas, TX | $78K |
| Syed V. Ali, MD PC | Port Huron, MI | $69K |
| Syed S. Ali, MD | Columbus, GA | $46K |
| DR Syed W. Ali | St Augustine, FL | $16K |
| Syed a Ali MD INC | Boonville, IN | $15K |
| New England MD Health Partners PLLC | West Hartford, CT | $7K |
| Hope Behavioural Health Clinic INC | Princeton, NJ | $2K |
| S&i Right Choice Pharmacy INC | Bronx, NY | $1K |
| Whittier Anesthesia Associates a Professional Medical Corp | Whittier, CA | $439.28 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.