Behavioral
Pathways Human Services of Pennsylvania, LLC
Pathways Human Services of Pennsylvania, LLC was paid $47.89M by Medicaid between Oct 2020 and Dec 2024, across 23 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 25% of everything it billed.
33Billing provider infoPATHWAYS HUMAN SERVICES OF PENNSYLVANIA, LLC
GREENSBURG, PA 15601
GREENSBURG, PA 15601
33aNPI1043822208assigned 08/19/2020
33bProvider typePsychologist
28Total paid$47.89M
24GClaims443,447
24DCodes billed23
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Psychologist providers in Pennsylvania
Rank by total paid#1 of 170
Median peer was paid$102K
This provider vs. median471×
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 | |
|---|---|---|---|
| 2020 | 30,892 | $2.44M | |
| 2021 | 116,150 | $10.64M | |
| 2022 | 115,947 | $12.49M | |
| 2023 | 101,587 | $11.95M | |
| 2024incomplete | 78,871 | $10.36M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 25% | 140,299 | 70,982 | $12.18M |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 23% | 74,828 | 8,395 | $11.20M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 17% | 53,789 | 14,360 | $8.26M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 7.8% | 31,388 | 18,286 | $3.73M |
| 97151 | 4.5% | 18,430 | 10,038 | $2.17M | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.1% | 42,432 | 30,206 | $1.99M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.6% | 7,920 | 7,580 | $1.24M |
| H0034 | Medication training and support, per 15 minutes | 2.3% | 10,650 | 10,130 | $1.10M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.0% | 9,858 | 9,424 | $976K |
| H0032 | Mental health service plan development by non-physician | 1.9% | 7,779 | 1,854 | $903K |
| H2021 | Community-based wrap-around services, per 15 minutes | 1.6% | 9,064 | 1,111 | $753K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.4% | 4,732 | 4,489 | $666K |
11 more codes
| 99213 | Doctor's office visit, returning patient (routine) | 1.1% | 6,077 | $547K |
| 99201 | 1.1% | 5,573 | $539K | |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | 1.1% | 5,450 | $514K |
| 99241 | 1.0% | 5,965 | $502K | |
| H0046 | Mental health services, not otherwise specified | <1% | 5,437 | $401K |
| 97156 | <1% | 1,213 | $114K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 660 | $43K |
| H0031 | Mental health assessment, by non-physician | <1% | 1,322 | $31K |
| 97154 | <1% | 512 | $28K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 51 | $9K |
| H2014 | Skills training and development, per 15 minutes | <1% | 18 | $278.04 |
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 officialMONTES, JOYCE (GENERAL COUNSEL)
| Provider | Location | Paid |
|---|---|---|
| Pathways Human Services of Pennsylvania, LLC | Monroeville, PA | $349K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.