PIONEER HEALTHCARE INC.
NPI: 1801225958
· RALEIGH, NC 27616
· Adult Care Home Facility
· NPI assigned 11/08/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code 99509 with only 1 total codes billed. Highly concentrated billing profile.
$1.51M
Total Medicaid Paid
Provider Details
| Authorized Official | DURU, BRIDGET (RN) |
| NPI Enumeration Date | 11/08/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,086 |
$45K |
| 2019 |
5,316 |
$216K |
| 2020 |
4,865 |
$217K |
| 2021 |
5,475 |
$275K |
| 2022 |
5,554 |
$333K |
| 2023 |
5,090 |
$307K |
| 2024 |
1,593 |
$117K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99509 |
Home visit for assistance with activities of daily living and personal care |
28,979 |
941 |
$1.51M |