Pathways, INC

Pathways, INC was paid $536K by Medicaid between Jan 2018 and Sep 2020, across 10 billing codes. Its largest line is H0038, Self-help/peer services, per 15 minutes — 40% of everything it billed.

33Billing provider infoPATHWAYS, INC
BURLEY, ID 83318

33aNPI1013064351assigned 01/05/2007

33bProvider typeMarriage & Family Therapist

28Total paid$536K

24GClaims6,873

24DCodes billed10

24AFirst – last monthJan 2018 – Sep 2020

Compared with peers

Next to other Marriage & Family Therapist providers in Idaho

Rank by total paid#1 of 11

Median peer was paid$29K

This provider vs. median18×

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	3,319	$247K
2019	2,719	$230K
2020	835	$59K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0038	Self-help/peer services, per 15 minutes	40%	1,737	471	$215K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	36%	3,107	947	$192K
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	8.2%	968	359	$44K
H2017	Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes	7.9%	346	83	$42K
90846	Family psychotherapy without the patient present, 50 minutes	4.2%	293	133	$23K
T1016	Case management, each 15 minutes	1.8%	202	82	$10K
H0032	Mental health service plan development by non-physician	1.2%	135	90	$6K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	<1%	60	37	$2K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	13	13	$1K
H0031	Mental health assessment, by non-physician	<1%	12	12	$1K

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 officialSAARIO, JOAN (OWNER)