Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PIONEER PHYSICIANS NETWORK, INC.

NPI: 1851354633 · UNIONTOWN, OH 44685 · Internal Medicine Physician · NPI assigned 04/11/2006

$697K
Total Medicaid Paid
72,777
Total Claims
62,246
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKOSTELNICK, KATHLEEN (PRACTICE ADMINISTRATOR)
NPI Enumeration Date04/11/2006

Related Entities

Other providers sharing the same authorized official: KOSTELNICK, KATHLEEN

ProviderCityStateTotal Paid
PIONEER PHYSICIANS NETWORK INC. TALLMADGE OH $319K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 2,097 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,757 6,808 $317K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,564 7,448 $280K
99310 Prolong nursin fac eval 15m 2,184 1,492 $47K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,279 1,367 $22K
99308 Subsequent nursing facility care, per day, straightforward 2,828 2,569 $22K
36415 Collection of venous blood by venipuncture 1,629 1,436 $3K
90686 172 167 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 164 151 $2K
90688 104 98 $995.87
90656 47 39 $371.10
99334 93 92 $344.68
80061 Lipid panel 253 253 $339.66
80050 General health panel 24 24 $92.63
83036 Hemoglobin; glycosylated (A1C) 72 72 $74.83
85025 Blood count; complete (CBC), automated, and automated differential WBC count 77 75 $62.47
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 12 12 $40.57
83721 26 26 $24.70
80048 Basic metabolic panel (calcium, ionized) 17 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) 117 98 $10.64
3079F 1,087 981 $0.02
1159F 3,828 3,188 $0.00
4004F 282 237 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 10,127 8,671 $0.00
1160F 6,818 5,675 $0.00
3078F 3,852 3,429 $0.00
3077F 44 38 $0.00
3008F 12,296 10,764 $0.00
3074F 5,691 5,003 $0.00
1220F 1,077 939 $0.00
1126F 483 402 $0.00
3075F 73 68 $0.00
1125F 306 262 $0.00
4037F 359 333 $0.00
1036F 35 12 $0.00