Physician
Pioneer Sports and Spine PLLC
Pioneer Sports and Spine PLLC was paid $38K by Medicaid between Sep 2021 and Jul 2024, across 5 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 65% of everything it billed.
33Billing provider infoPIONEER SPORTS AND SPINE PLLC
GILBERT, AZ 85234
GILBERT, AZ 85234
33aNPI1730505017assigned 03/11/2014
33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$38K
24GClaims930
24DCodes billed5
24AFirst – last monthSep 2021 – Jul 2024
Compared with peers
Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in Arizona
Rank by total paid#8 of 12
Median peer was paid$97K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2021 | 30 | $908.92 | |
| 2022 | 383 | $15K | |
| 2023 | 503 | $21K | |
| 2024incomplete | 14 | $265.49 |
Box 24 · Service lines
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 | 65% | 496 | 202 | $25K |
| 62369 | 15% | 146 | 136 | $6K | |
| 76942 | 10% | 159 | 149 | $4K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.3% | 97 | 92 | $2K |
| 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 | 3.0% | 32 | 25 | $1K |
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 officialHIGGINS, DEREK (PRESIDENT)