Supplier
Pioneer Medical Services INC
Pioneer Medical Services INC was paid $1.97M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 81% of everything it billed.
33Billing provider infoPIONEER MEDICAL SERVICES INC
MOUNT HOPE, WV 25880
MOUNT HOPE, WV 25880
33aNPI1871552893assigned 03/20/2006
33bProvider typeCustomized Equipment (DME)
28Total paid$1.97M
24GClaims43,757
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Customized Equipment (DME) providers in West Virginia
Rank by total paid#2 of 9
Median peer was paid$635K
This provider vs. median3.1×
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.
Entity ProliferationAuthorized official MENCHEN, ROBIN controls 20+ related entities in our dataset. Read more
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 | 1,263 | $58K | |
| 2019 | 1,557 | $73K | |
| 2020 | 3,451 | $207K | |
| 2021 | 6,427 | $289K | |
| 2022 | 11,143 | $498K | |
| 2023 | 11,957 | $491K | |
| 2024incomplete | 7,959 | $356K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 81% | 24,194 | 21,103 | $1.59M |
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | 4.8% | 551 | 462 | $95K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 4.4% | 8,665 | 7,365 | $87K |
| E0601 | Continuous positive airway pressure (cpap) device | 2.9% | 1,847 | 1,556 | $57K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 1.8% | 1,310 | 1,110 | $35K |
| A7030 | Full face mask used with positive airway pressure device, each | 1.6% | 547 | 471 | $32K |
| E0570 | Nebulizer, with compressor | <1% | 2,047 | 1,740 | $18K |
| K0001 | Standard wheelchair | <1% | 977 | 846 | $12K |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | <1% | 201 | 147 | $11K |
| A7037 | Tubing used with positive airway pressure device | <1% | 799 | 713 | $11K |
| A7035 | Headgear used with positive airway pressure device | <1% | 512 | 440 | $7K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 1,159 | 1,009 | $5K |
9 more codes
| E0261 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress | <1% | 227 | $3K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | <1% | 174 | $3K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 43 | $1K |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 56 | $1K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 17 | $560.58 |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 72 | $359.21 |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 12 | $337.69 |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 29 | $146.38 |
| A9279 | Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified | <1% | 318 | $21.56 |
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 officialMENCHEN, ROBIN (CHIEF EXECUTIVE OFFICER)
Parent organizationROTECH HEALTHCARE INC
| Provider | Location | Paid |
|---|---|---|
| Better Living Now INC | Hauppauge, NY | $59.51M |
| Lovejoy Medical INC | Hazard, KY | $4.60M |
| Oxygen Plus INC | Colorado Springs, CO | $4.26M |
| MMS Norfolk, INC. | Virginia Beach, VA | $3.53M |
| Distinct Home Health Care INC | Bossier City, LA | $3.49M |
| Acadia Home Care | Hampden, ME | $2.98M |
| Acadia Home Care | Presque Isle, ME | $2.70M |
| Allied Medical Supply INC | Flagstaff, AZ | $2.35M |
| Home Medical Systems INC | Fayetteville, NC | $2.19M |
| Professional Breathing Associates INC | West Branch, MI | $1.98M |
| Rotech Oxygen and Medical Equipment INC | Pensacola, FL | $1.70M |
| Home Medical Systems INC | High Point, NC | $1.55M |
| G & G Medical INC | Grand Junction, CO | $1.34M |
| Don Paul Respiratory Services INC | Windsor, CO | $1.32M |
| Home Care Oxygen Service INC | Duluth, MN | $1.30M |
| Distinct Home Health Care INC | Natchitoches, LA | $1.28M |
| Home Medical Systems INC | Whiteville, NC | $1.18M |
| Medco Professional Services Corp | Trinidad, CO | $1.08M |
| Don Paul Respiratory Services INC | Fort Morgan, CO | $1.07M |
| Rotech Oxygen and Medical Equipment INC | Gainesville, FL | $1.03M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.