Agency
Pathways Professional Counseling LLC
Pathways Professional Counseling LLC was paid $3.40M by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 74% of everything it billed.
33Billing provider infoPATHWAYS PROFESSIONAL COUNSELING LLC
OKLAHOMA CITY, OK 73013
OKLAHOMA CITY, OK 73013
33aNPI1043392558assigned 10/20/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$3.40M
24GClaims41,104
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Oklahoma
Rank by total paid#69 of 319
Median peer was paid$749K
This provider vs. median4.5×
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 | 8,220 | $952K | |
| 2019 | 8,918 | $682K | |
| 2020 | 8,291 | $650K | |
| 2021 | 8,836 | $670K | |
| 2022 | 3,549 | $227K | |
| 2023 | 2,333 | $154K | |
| 2024incomplete | 957 | $62K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 74% | 38,200 | 9,233 | $2.53M |
| G9009 | Coordinated care fee, risk adjusted maintenance, level 3 | 12% | 1,357 | 1,342 | $403K |
| G9010 | Coordinated care fee, risk adjusted maintenance, level 4 | 12% | 465 | 459 | $402K |
| H0032 | Mental health service plan development by non-physician | <1% | 405 | 404 | $27K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | <1% | 509 | 199 | $21K |
| H0031 | Mental health assessment, by non-physician | <1% | 96 | 96 | $9K |
| 96101 | <1% | 30 | 29 | $4K | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 42 | 42 | $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 officialRANDALL, ZACHORY (CEO/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pathways Medical LLC | Edmond, OK | $318K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.