Physician
Pioneer Pediatrics INC
Pioneer Pediatrics INC was paid $3.66M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoPIONEER PEDIATRICS INC
LAS VEGAS, NV 89110
LAS VEGAS, NV 89110
33aNPI1902032220assigned 06/01/2009
33bProvider typePediatrics Physician
28Total paid$3.66M
24GClaims131,377
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Nevada
Rank by total paid#14 of 267
Median peer was paid$116K
This provider vs. median32×
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 | 1,825 | $19K | |
| 2019 | 26,716 | $769K | |
| 2020 | 22,610 | $656K | |
| 2021 | 23,144 | $704K | |
| 2022 | 23,121 | $670K | |
| 2023 | 18,207 | $491K | |
| 2024incomplete | 15,754 | $355K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 24,643 | 18,573 | $1.32M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16% | 15,836 | 13,118 | $596K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 6,053 | 5,289 | $446K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 6,356 | 5,038 | $409K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.0% | 4,666 | 3,999 | $329K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 1,822 | 1,443 | $124K |
| 99188 | 3.1% | 12,573 | 10,549 | $112K | |
| 99460 | 2.4% | 1,835 | 1,166 | $87K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.8% | 1,813 | 1,154 | $67K |
| 99070 | 1.3% | 12,721 | 10,531 | $49K | |
| 99383 | <1% | 379 | 336 | $33K | |
| 99381 | <1% | 552 | 441 | $33K |
42 more codes
| 97803 | <1% | 4,192 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 446 | $8K |
| 99384 | <1% | 84 | $7K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 98 | $7K |
| 99463 | <1% | 109 | $6K | |
| D1206 | Topical application of fluoride varnish | <1% | 138 | $5K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 42 | $4K |
| 99382 | <1% | 43 | $4K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 211 | $3K |
| 92588 | <1% | 117 | $1K | |
| 92567 | <1% | 201 | $1K | |
| 99462 | <1% | 35 | $998.73 | |
| 97802 | <1% | 387 | $814.56 | |
| 90967 | <1% | 48 | $496.23 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 63 | $479.44 |
| 69210 | <1% | 18 | $386.62 | |
| 90672 | <1% | 671 | $372.92 | |
| 92568 | <1% | 23 | $230.99 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 19 | $177.37 |
| 90461 | <1% | 269 | $167.56 | |
| 90707 | <1% | 2,092 | $153.10 | |
| 90716 | <1% | 2,110 | $127.44 | |
| 90686 | <1% | 3,243 | $61.31 | |
| 90660 | <1% | 258 | $60.56 | |
| 90621 | <1% | 1,098 | $57.22 | |
| 99173 | <1% | 374 | $44.44 | |
| 90651 | <1% | 948 | $23.78 | |
| 90696 | <1% | 617 | $22.96 | |
| 90734 | <1% | 667 | $22.96 | |
| 90633 | <1% | 2,202 | $11.48 | |
| 90723 | 0% | 1,263 | $0.00 | |
| 90680 | 0% | 2,821 | $0.00 | |
| 90744 | 0% | 1,159 | $0.00 | |
| 90677 | 0% | 13 | $0.00 | |
| 90378 | 0% | 27 | $0.00 | |
| 90700 | 0% | 2,897 | $0.00 | |
| 90713 | 0% | 1,883 | $0.00 | |
| 90670 | 0% | 4,605 | $0.00 | |
| 90715 | 0% | 214 | $0.00 | |
| 90685 | 0% | 2,116 | $0.00 | |
| 90648 | 0% | 4,295 | $0.00 | |
| 90710 | 0% | 12 | $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 officialKUFUOR, NANA (PRESIDENT)