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Pioneer Homecare Inc.

Home Health·Bronx, NY·NPI: 1124155825Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $133.7M is at the 25th percentile among 322 Home Health providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$133.7M

$133,650,772

Total Claims

221K

Beneficiaries

11K

20.9 claims/patient

Avg Cost/Claim

$604

#852 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Pioneer Homecare Inc. is a Home Health provider based in Bronx, NY. From the 2018–2024 period, this provider received $133.7M in Medicaid payments across 221K claims.

Why This Matters

This provider received $133.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,706 Medicaid beneficiaries for a full year at average per-enrollee costs.

15% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$16.3M
+20%
2019
$19.6M
+18%
2020
$23.0M
-16%
2021
$19.5M
-7%
2022
$18.0M
+2%
2023
$18.4M
+2%
2024
$18.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (S9124 (Nursing care, in the home; per hour)) accounts for 61% of total spending.

S9124Top 25%

Nursing care, in the home; per hour

$81.3M

133K claims · 60.8%

Your Cost: $608.83/claim|Median: $400.25
1.5× median
S9123Top 10%

Nursing care, in the home, by RN, per 15 minutes

$23.0M

34K claims · 17.2%

Your Cost: $678.98/claim|Median: $124.86
5.4× median
T1003Top 10%

LPN/LVN services, per 15 minutes

$22.7M

43K claims · 17.0%

Your Cost: $527.71/claim|Median: $24.24
21.8× median
T1002Top 5%

RN services, per 15 minutes

$5.3M

8K claims · 4.0%

Your Cost: $651.22/claim|Median: $37.42
17.4× median
T1000Top 25%

Private duty/independent nursing service(s)

$1.4M

3K claims · 1.1%

Your Cost: $531.88/claim|Median: $402.76
1.3× median