Pioneer Family Medicine PLLC

Pioneer Family Medicine PLLC was paid $460K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 50% of everything it billed.

33Billing provider infoPIONEER FAMILY MEDICINE PLLC
MERIDIAN, ID 83646

33aNPI1952335929assigned 07/10/2006

33bProvider typeFamily Medicine Physician

28Total paid$460K

24GClaims16,608

24DCodes billed22

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Idaho

Rank by total paid#39 of 136

Median peer was paid$139K

This provider vs. median3.3×

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	2,786	$73K
2019	2,855	$62K
2020	3,514	$85K
2021	2,564	$75K
2022	1,888	$70K
2023	1,215	$52K
2024incomplete	1,786	$44K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	50%	10,694	7,922	$229K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	1,579	1,486	$92K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	12%	712	646	$56K
99310	Prolong nursin fac eval 15m	5.0%	652	440	$23K
99306	Prolong nursin fac eval 15m	3.2%	297	288	$15K
99349		2.9%	350	245	$13K
99350	Prolong home eval add 15m	2.4%	200	169	$11K
99348		1.4%	272	189	$6K
99308	Subsequent nursing facility care, per day, straightforward	<1%	227	191	$4K
99334		<1%	258	168	$3K
99336		<1%	94	69	$3K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	22	22	$2K

10 more codes

U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	<1%	15	$570.67
36415	Collection of venous blood by venipuncture	<1%	140	$429.48
99335		<1%	32	$328.54
99316		<1%	12	$226.25
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	25	$153.18
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)	<1%	73	$27.07
90674		<1%	20	$3.32
G0008	Administration of influenza virus vaccine	<1%	20	$2.66
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	758	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	156	$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 officialLUDWIG, JASON (OWNER)