Agency
Pathways Community Services LLC
Pathways Community Services LLC was paid $8.39M by Medicaid between Jan 2018 and Jun 2024, across 17 billing codes. Its largest line is H2015, community support for mental illness or disability, per 15 minutes — 44% of everything it billed.
33Billing provider infoPATHWAYS COMMUNITY SERVICES LLC
SAN DIEGO, CA 92120
SAN DIEGO, CA 92120
33aNPI1104247659assigned 12/31/2013
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$8.39M
24GClaims43,137
24DCodes billed17
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in California
Rank by total paid#112 of 633
Median peer was paid$779K
This provider vs. median11×
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 | 5,643 | $1.03M | |
| 2019 | 6,321 | $1.17M | |
| 2020 | 7,517 | $1.23M | |
| 2021 | 8,112 | $1.54M | |
| 2022 | 7,035 | $1.47M | |
| 2023 | 5,788 | $1.26M | |
| 2024incomplete | 2,721 | $690K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 44% | 20,209 | 7,530 | $3.68M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 25% | 9,567 | 3,948 | $2.10M |
| H2010 | Comprehensive medication services, per 15 minutes | 13% | 5,464 | 3,933 | $1.12M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.6% | 1,452 | 763 | $387K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 3.4% | 3,212 | 2,240 | $288K |
| H0032 | Mental health service plan development by non-physician | 1.9% | 720 | 711 | $160K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.8% | 425 | 265 | $151K |
| 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) | 1.5% | 406 | 308 | $123K |
| H0038 | Self-help/peer services, per 15 minutes | 1.4% | 496 | 231 | $114K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 250 | 193 | $69K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 98 | 91 | $55K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 215 | 178 | $37K |
5 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 77 | $34K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 385 | $29K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 60 | $22K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 59 | $15K |
| H0034 | Medication training and support, per 15 minutes | <1% | 42 | $5K |
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 | $12.49M |
| 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.