Managed care
Pathways Community Services LLC
Pathways Community Services LLC was paid $12.49M by Medicaid between Jan 2018 and Jun 2024, across 13 billing codes. Its largest line is H2017, psychosocial rehabilitation, billed per 15 minutes — 29% of everything it billed.
33Billing provider infoPATHWAYS COMMUNITY SERVICES LLC
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
33aNPI1093902934assigned 09/25/2007
33bProvider typePoint of Service
28Total paid$12.49M
24GClaims74,440
24DCodes billed13
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Point of Service providers in California
Rank by total paid#2 of 45
Median peer was paid$42K
This provider vs. median300×
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 | 15,360 | $1.94M | |
| 2019 | 13,103 | $2.00M | |
| 2020 | 12,929 | $1.79M | |
| 2021 | 9,423 | $1.53M | |
| 2022 | 7,817 | $1.73M | |
| 2023 | 9,125 | $2.19M | |
| 2024incomplete | 6,683 | $1.31M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 29% | 24,041 | 8,976 | $3.67M |
| H2010 | Comprehensive medication services, per 15 minutes | 25% | 12,819 | 6,511 | $3.13M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 21% | 21,240 | 8,355 | $2.63M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 15% | 11,210 | 5,962 | $1.86M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.6% | 571 | 530 | $329K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.2% | 827 | 553 | $277K |
| H0034 | Medication training and support, per 15 minutes | 1.9% | 1,513 | 1,127 | $238K |
| H0032 | Mental health service plan development by non-physician | 1.1% | 600 | 581 | $132K |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 320 | 250 | $89K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 375 | 310 | $84K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 357 | 277 | $52K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 35 | 28 | $3K |
1 more codes
| H0038 | Self-help/peer services, per 15 minutes | 0% | 532 | $0.00 |
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 officialGINTER, TRACY (DIRECTOR OF STATE OPERATIONS)
| Provider | Location | Paid |
|---|---|---|
| Pathways Community Services LLC | San Diego, CA | $8.39M |
| Pathways Community Services LLC | San Diego, CA | $6.15M |
| College Community Services | Mojave, CA | $3.10M |
| College Community Services | Wasco, CA | $2.49M |
| College Community Services | Ridgecrest, CA | $69K |
| College Community Services | Bakersfield, CA | $7K |
| College Community Services | Anaheim, CA | $912.43 |
| Pathways Community Services, LLC | Pico Rivera, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.