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 Minnesota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Minnesota 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. Minnesota (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 Care LLC (NPI 1336651405)

Field	Value
Entity Type	Organization
Organization	Pioneer Care LLC
Address	8751 Preserve Blvd
City	Eden Prairie
State	MN
ZIP	55344
Taxonomy	Assisted Living Facility
NPI Enumerated	October 30, 2017

Payer Source	Total Paid
Medicaid	$13.9M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2031	Assisted living; waiver, per diem	48,280	$290	$13.9M

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.

Claims Volume vs. Minnesota Distribution

Pioneer Care LLC — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2031	Assisted living; waiver, per diem	46	340	10,410	$170	$3.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ear Professionals International LLC	MN	Hearing Aid Equipment	$0	$32.4M
Optumrx, Inc.	MN	Durable Medical Equipment & Medical Supplies	$0	$18.5M
Psi Pride Institute Inc	MN	Substance Abuse Rehabilitation Facility	$0	$15.6M
Group Health, Inc.	MN	Clinical Medical Laboratory	$2.4M	$11.5M
Consulting Radiologists, Ltd	MN	Diagnostic Radiology Physician	$0	$10.3M
Sidky Family Dentistry	MN	General Practice Dentistry	$0	$6.3M
Taylor Jordan	MN	Diagnostic Radiology Physician	$545.8K	$0
Ann Marie Equio	MN	Family Nurse Practitioner	$512.2K	$0
Shawn Ahmed	MN	Diagnostic Radiology Physician	$505K	$0
David Winger	MN	Diagnostic Radiology Physician	$413.8K	$1.6K

Pioneer Care LLC — Billing Profile & Reimbursement Data

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Pioneer Care LLC — Billing Profile & Reimbursement Data

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

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References