Nursing facility
Pioneer Healthcare INC.
Pioneer Healthcare INC. was paid $1.51M by Medicaid between Oct 2018 and Nov 2024, across 1 billing code. Its largest line is 99509, Home visit for assistance with activities of daily living and personal care — 100% of everything it billed.
33Billing provider infoPIONEER HEALTHCARE INC.
RALEIGH, NC 27616
RALEIGH, NC 27616
33aNPI1801225958assigned 11/08/2013
33bProvider typeAdult Care Home Facility
28Total paid$1.51M
24GClaims28,979
24DCodes billed1
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other Adult Care Home Facility providers in North Carolina
Rank by total paid#52 of 111
Median peer was paid$1.31M
This provider vs. median1.2×
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.
Single-Code Concentration100% of spending on code 99509 with only 1 total codes billed. Highly concentrated billing profile.
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 | 1,086 | $45K | |
| 2019 | 5,316 | $216K | |
| 2020 | 4,865 | $217K | |
| 2021 | 5,475 | $275K | |
| 2022 | 5,554 | $333K | |
| 2023 | 5,090 | $307K | |
| 2024incomplete | 1,593 | $117K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99509 | Home visit for assistance with activities of daily living and personal care | 100% | 28,979 | 941 | $1.51M |
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 officialDURU, BRIDGET (RN)