Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

PIONEER HEALTH GROUP LLC

Family Medicine, Addiction Medicine

LOUISA, Kentucky

NPI: 1235585126

Risk Tier

Low

Total Paid

$20.6M

$20,551,129

Total Claims

871K

Beneficiaries

313K

Avg Cost/Claim

$23.58

No statistical risk flags detected for this provider.

Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.

Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024