Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PATHWAYS HUMAN SERVICES OF PENNSYLVANIA, LLC

NPI: 1043822208 · GREENSBURG, PA 15601 · Psychologist · NPI assigned 08/19/2020

$47.89M
Total Medicaid Paid
443,447
Total Claims
208,797
Beneficiaries
23
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMONTES, JOYCE (GENERAL COUNSEL)
NPI Enumeration Date08/19/2020

Related Entities

Other providers sharing the same authorized official: MONTES, JOYCE

ProviderCityStateTotal Paid
PATHWAYS HUMAN SERVICES OF PENNSYLVANIA, LLC MONROEVILLE PA $349K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 30,892 $2.44M
2021 116,150 $10.64M
2022 115,947 $12.49M
2023 101,587 $11.95M
2024 78,871 $10.36M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90834 Psychotherapy, 45 minutes with patient 140,299 70,982 $12.18M
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 74,828 8,395 $11.20M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 53,789 14,360 $8.26M
90837 Psychotherapy, 53 minutes with patient 31,388 18,286 $3.73M
97151 18,430 10,038 $2.17M
90832 Psychotherapy, 30 minutes with patient 42,432 30,206 $1.99M
90792 Psychiatric diagnostic evaluation with medical services 7,920 7,580 $1.24M
H0034 Medication training and support, per 15 minutes 10,650 10,130 $1.10M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 9,858 9,424 $976K
H0032 Mental health service plan development by non-physician 7,779 1,854 $903K
H2021 Community-based wrap-around services, per 15 minutes 9,064 1,111 $753K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,732 4,489 $666K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,077 5,753 $547K
99201 5,573 5,341 $539K
H2019 Therapeutic behavioral services, per 15 minutes 5,450 1,226 $514K
99241 5,965 5,621 $502K
H0046 Mental health services, not otherwise specified 5,437 1,120 $401K
97156 1,213 876 $114K
90847 Family psychotherapy with the patient present, 50 minutes 660 487 $43K
H0031 Mental health assessment, by non-physician 1,322 1,312 $31K
97154 512 143 $28K
90791 Psychiatric diagnostic evaluation 51 50 $9K
H2014 Skills training and development, per 15 minutes 18 13 $278.04