Agency
Pathways Behavioral Services INC
Pathways Behavioral Services INC was paid $9.91M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 37% of everything it billed.
33Billing provider infoPATHWAYS BEHAVIORAL SERVICES INC
WAVERLY, IA 50677
WAVERLY, IA 50677
33aNPI1114950979assigned 07/07/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$9.91M
24GClaims126,635
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Iowa
Rank by total paid#32 of 134
Median peer was paid$2.44M
This provider vs. median4.1×
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 | 10,856 | $964K | |
| 2019 | 14,111 | $1.21M | |
| 2020 | 16,511 | $1.37M | |
| 2021 | 18,955 | $1.41M | |
| 2022 | 20,964 | $1.56M | |
| 2023 | 24,586 | $1.77M | |
| 2024incomplete | 20,652 | $1.61M |
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 | 37% | 37,684 | 21,846 | $3.65M |
| 99490 | Ccm add 20min | 32% | 18,656 | 17,990 | $3.13M |
| 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 | 10% | 13,860 | 12,740 | $1.01M |
| H0038 | Self-help/peer services, per 15 minutes | 4.1% | 7,171 | 3,909 | $407K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.1% | 3,053 | 2,961 | $405K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 2.8% | 3,502 | 1,326 | $280K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.6% | 1,349 | 1,312 | $254K |
| H0037 | Community psychiatric supportive treatment program, per diem | 1.9% | 1,140 | 1,092 | $193K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.8% | 3,652 | 2,832 | $179K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 1,839 | 1,699 | $123K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 786 | 518 | $80K |
| 90785 | <1% | 18,700 | 10,264 | $69K |
9 more codes
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,088 | $57K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 423 | $36K |
| Q3014 | Telehealth originating site facility fee | <1% | 1,391 | $24K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 102 | $6K |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 2,502 | $0.00 |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 9,093 | $0.00 |
| 99439 | 0% | 450 | $0.00 | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 0% | 62 | $0.00 |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | 0% | 132 | $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 officialBECKER, DAVID (BUSINESS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Walnut Street Community Health Center, INC. | Hagerstown, MD | $19.32M |
| Pathways Behavioral Services INC | Waterloo, IA | $4.53M |
| Walnut Street Community Health Center INC. | Hagerstown, MD | $96K |
| Becker, Becker & Silvius, LLC | Revere, MA | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.