Physician
Pioneer Physicians Network, INC.
Pioneer Physicians Network, INC. was paid $697K by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoPIONEER PHYSICIANS NETWORK, INC.
UNIONTOWN, OH 44685
UNIONTOWN, OH 44685
33aNPI1851354633assigned 04/11/2006
33bProvider typeInternal Medicine Physician
28Total paid$697K
24GClaims72,777
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Ohio
Rank by total paid#74 of 663
Median peer was paid$17K
This provider vs. median40×
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 | 18,857 | $172K | |
| 2019 | 15,462 | $143K | |
| 2020 | 9,021 | $94K | |
| 2021 | 11,187 | $96K | |
| 2022 | 11,719 | $92K | |
| 2023 | 4,434 | $60K | |
| 2024incomplete | 2,097 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 45% | 7,757 | 6,808 | $317K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 8,564 | 7,448 | $280K |
| 99310 | Prolong nursin fac eval 15m | 6.8% | 2,184 | 1,492 | $47K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 3.2% | 2,279 | 1,367 | $22K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.2% | 2,828 | 2,569 | $22K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,629 | 1,436 | $3K |
| 90686 | <1% | 172 | 167 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 164 | 151 | $2K |
| 90688 | <1% | 104 | 98 | $995.87 | |
| 90656 | <1% | 47 | 39 | $371.10 | |
| 99334 | <1% | 93 | 92 | $344.68 | |
| 80061 | Lipid panel | <1% | 253 | 253 | $339.66 |
22 more codes
| 80050 | General health panel | <1% | 24 | $92.63 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 72 | $74.83 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 77 | $62.47 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 12 | $40.57 |
| 83721 | <1% | 26 | $24.70 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 17 | $14.96 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 117 | $10.64 |
| 3079F | <1% | 1,087 | $0.02 | |
| 1159F | 0% | 3,828 | $0.00 | |
| 4004F | 0% | 282 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 10,127 | $0.00 |
| 1160F | 0% | 6,818 | $0.00 | |
| 3078F | 0% | 3,852 | $0.00 | |
| 3077F | 0% | 44 | $0.00 | |
| 3008F | 0% | 12,296 | $0.00 | |
| 3074F | 0% | 5,691 | $0.00 | |
| 1220F | 0% | 1,077 | $0.00 | |
| 1126F | 0% | 483 | $0.00 | |
| 3075F | 0% | 73 | $0.00 | |
| 1125F | 0% | 306 | $0.00 | |
| 4037F | 0% | 359 | $0.00 | |
| 1036F | 0% | 35 | $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 officialKOSTELNICK, KATHLEEN (PRACTICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Pioneer Physicians Network INC. | Tallmadge, OH | $319K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.