Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Michigan for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Michigan only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Michigan (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Pioneer Pharmacy Services LLC (NPI 1063920981)

Field	Value
Entity Type	Organization
Organization	Pioneer Pharmacy Services LLC
Address	24615-24617 Halsted Rd
City	Farmington Hills
State	MI
ZIP	48335
Taxonomy	Long Term Care Pharmacy
NPI Enumerated	January 12, 2018

Payer Source	Total Paid
Medicare	$45.2K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
91320	This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.	120	$130	$15.2K
91322	This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.	50	$140	$7.7K
90480	The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.	170	$40	$7.2K
G0008	Administration of influenza virus vaccine	180	$30	$5.5K
90674	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…	150	$30	$4.9K
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	30	$80	$2.3K
0134A	N/A	40	$40	$1.6K
0054A	N/A	20	$40	$620

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Pioneer Pharmacy Services LLC — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
91322	583	1,000	70	$140	$13.4K
91320	158	840	50	$130	$10.1K
90694	1,076	1,560	50	$70	$5.8K
90480	276	1,520	80	$40	$3.9K
G0008	347	3,440	50	$30	$2.2K
0134A	92	570	20	$40	$1K
90674	4	260	20	$30	$980
0054A	1	10	20	$40	$630

Nearby Providers

Other providers in the same ZIP code as Pioneer Pharmacy Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jaime Davey	MI	Physical Therapist	$118.5K	$0
David Ungar	MI	Podiatrist	$97.8K	$0
Christopher Perkins	MI	Chiropractor	$26.5K	$0
Brian Nocella	MI	Chiropractor	$13.8K	$0

Pioneer Pharmacy Services LLC — Billing Profile & Reimbursement Data

Sign up for Pioneer Pharmacy Services LLC — Billing Profile & Reimbursement Data policy alerts

Pioneer Pharmacy Services LLC — Billing Profile & Reimbursement Data

Sign up for Pioneer Pharmacy Services LLC — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References