Agency
Pathway Counseling Services
Pathway Counseling Services was paid $2.09M by Medicaid between Oct 2018 and Jul 2022, across 7 billing codes. Its largest line is S5126, Attendant care services; per diem — 48% of everything it billed.
33Billing provider infoPATHWAY COUNSELING SERVICES
HAGUE, VA 22469
HAGUE, VA 22469
33aNPI1114275054assigned 08/27/2012
33bProvider typeHome Health Agency
28Total paid$2.09M
24GClaims33,421
24DCodes billed7
24AFirst – last monthOct 2018 – Jul 2022
Compared with peers
Next to other Home Health Agency providers in Virginia
Rank by total paid#315 of 678
Median peer was paid$1.59M
This provider vs. median1.3×
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 | 86 | $17K | |
| 2019 | 5,430 | $344K | |
| 2020 | 14,643 | $1.11M | |
| 2021 | 8,583 | $376K | |
| 2022 | 4,679 | $244K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5126 | Attendant care services; per diem | 48% | 19,050 | 3,691 | $1.01M |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 38% | 13,031 | 466 | $799K |
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | 7.2% | 72 | 71 | $150K |
| S5116 | Home care training, non-family; per session | 3.2% | 570 | 535 | $67K |
| 99509 | Home visit for assistance with activities of daily living and personal care | 2.1% | 580 | 533 | $43K |
| S5109 | Home care training to home care client, per session | <1% | 74 | 71 | $20K |
| T1028 | Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs | <1% | 44 | 43 | $2K |
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 officialWILLIAMS, BILL (DIRECTOR)