Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Pioneer Human Services

Pioneer Human Services was paid $1.96M by Medicaid between Feb 2021 and Dec 2022, across 2 billing codes. Its largest line is H0018, Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem — 95% of everything it billed.

33Billing provider infoPIONEER HUMAN SERVICES
SEDRO WOOLLEY, WA 98284
33aNPI1912563883assigned 05/15/2019
28Total paid$1.96M
24GClaims1,093
24DCodes billed2
24AFirst – last monthFeb 2021 – Dec 2022
Compared with peers

Next to other Community/Behavioral Health Agency providers in Washington

Rank by total paid#48 of 176
Median peer was paid$340K
This provider vs. median5.8×

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.

Single-Code Concentration95% of spending on code H0018 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
2021249$463K
2022844$1.50M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 95% 589 487 $1.87M
H2036 Alcohol and/or other drug treatment program, per diem 4.6% 504 476 $90K

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 officialRUSH, VICKI (CONTRACTS ADMINISTRATOR)
Same official

Other billing entities under RUSH, VICKI

Full network →
ProviderLocationPaid
Pioneer Human ServicesSpokane, WA$263K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.