Pioneer Physicians, PLC

Pioneer Physicians, PLC was paid $166K by Medicaid between Jan 2018 and Sep 2022, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 47% of everything it billed.

33Billing provider infoPIONEER PHYSICIANS, PLC
YUMA, AZ 85364

33aNPI1861799108assigned 02/23/2011

33bProvider typeInternal Medicine Physician

28Total paid$166K

24GClaims4,008

24DCodes billed6

24AFirst – last monthJan 2018 – Sep 2022

Compared with peers

Next to other Internal Medicine Physician providers in Arizona

Rank by total paid#146 of 395

Median peer was paid$68K

This provider vs. median2.4×

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	983	$28K
2019	911	$37K
2020	345	$15K
2021	946	$48K
2022	823	$37K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	47%	2,297	765	$77K
99220		22%	579	508	$37K
99223	Prolong inpt eval add15 m	19%	403	366	$31K
99239	Hospital discharge day management, more than 30 minutes	7.9%	391	341	$13K
99217		4.5%	318	264	$7K
99226		<1%	20	13	$488.73

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 officialMAHALINGAM, JAYAREENA (OWNER)