Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pioneer Physician Services, INC.

Pioneer Physician Services, INC. was paid $240K by Medicaid between Jan 2018 and Mar 2024, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 54% of everything it billed.

33Billing provider infoPIONEER PHYSICIAN SERVICES, INC.
MAUMEE, OH 43537
33aNPI1730608514assigned 09/13/2017
33bProvider typeHospitalist Physician
28Total paid$240K
24GClaims10,532
24DCodes billed6
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers

Next to other Hospitalist Physician providers in Ohio

Rank by total paid#8 of 49
Median peer was paid$7K
This provider vs. median35×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,692$30K
20191,696$41K
20201,658$39K
20211,414$38K
20223,010$76K
20231,023$14K
2024incomplete39$844.87
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 54% 6,091 2,208 $128K
99223 Prolong inpt eval add15 m 27% 1,605 1,467 $65K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 13% 1,997 865 $32K
99239 Hospital discharge day management, more than 30 minutes 5.3% 671 594 $13K
99220 <1% 32 27 $1K
99308 Subsequent nursing facility care, per day, straightforward <1% 136 70 $755.92

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 officialABDEL KHALEK, MOHAMED (DIRECTOR)