Hospital
Pioneers Memorial Healthcare District
Pioneers Memorial Healthcare District was paid $10.84M by Medicaid between Mar 2018 and Sep 2024, across 51 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 87% of everything it billed.
33Billing provider infoPIONEERS MEMORIAL HEALTHCARE DISTRICT
BRAWLEY, CA 92227
BRAWLEY, CA 92227
33aNPI1760995625assigned 11/14/2017
33bProvider typeRural Acute Care Hospital
28Total paid$10.84M
24GClaims159,706
24DCodes billed51
24AFirst – last monthMar 2018 – Sep 2024
Compared with peers
Next to other Rural Acute Care Hospital providers in California
Rank by total paid#2 of 6
Median peer was paid$397K
This provider vs. median27×
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 | 7,768 | $624K | |
| 2019 | 25,982 | $2.23M | |
| 2020 | 22,755 | $1.60M | |
| 2021 | 32,906 | $1.80M | |
| 2022 | 29,299 | $1.62M | |
| 2023 | 30,712 | $2.13M | |
| 2024incomplete | 10,284 | $837K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 87% | 38,129 | 29,721 | $9.41M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 25,056 | 22,062 | $252K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 16,043 | 13,361 | $241K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 1.2% | 3,116 | 2,975 | $129K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 5,132 | 5,121 | $114K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 1,452 | 1,412 | $86K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 4,203 | 4,159 | $84K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,327 | 2,316 | $67K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 1,028 | 1,002 | $54K |
| 92552 | <1% | 5,491 | 5,461 | $54K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,137 | 1,131 | $49K |
| J3490 | Unclassified drugs | <1% | 6,128 | 6,096 | $43K |
39 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,084 | $39K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 4,709 | $34K |
| 87486 | <1% | 2,543 | $33K | |
| 87581 | <1% | 2,542 | $32K | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 712 | $17K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 124 | $10K |
| 99383 | <1% | 134 | $10K | |
| 86580 | <1% | 5,331 | $10K | |
| 99173 | <1% | 5,340 | $9K | |
| 99384 | <1% | 100 | $9K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,553 | $8K |
| 99000 | <1% | 3,866 | $8K | |
| 99382 | <1% | 98 | $7K | |
| 85018 | <1% | 5,749 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,384 | $6K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 1,259 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 7,356 | $3K |
| 90461 | <1% | 4,390 | $3K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 36 | $2K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 153 | $2K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 466 | $1K |
| 0250 | <1% | 126 | $1K | |
| 83655 | <1% | 146 | $945.89 | |
| 0259 | <1% | 75 | $809.54 | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 12 | $615.72 |
| 99201 | <1% | 15 | $502.35 | |
| 81003 | <1% | 275 | $379.03 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 95 | $282.20 |
| 81001 | <1% | 176 | $252.44 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $225.00 |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 13 | $204.75 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 66 | $6.29 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 322 | $0.00 |
| 90677 | 0% | 23 | $0.00 | |
| 99381 | 0% | 42 | $0.00 | |
| 90697 | 0% | 20 | $0.00 | |
| 99441 | 0% | 73 | $0.00 | |
| Z7610 | 0% | 26 | $0.00 | |
| 90680 | 0% | 17 | $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 officialLEWIS, LAWRENCE (CEO)
Parent organizationPIONEERS MEMORIAL HEALTHCARE DISTRICT