Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PATHWAYS BEHAVIORAL SERVICES INC

NPI: 1114950979 · WAVERLY, IA 50677 · Community/Behavioral Health Agency · NPI assigned 07/07/2006

$9.91M
Total Medicaid Paid
126,635
Total Claims
93,063
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBECKER, DAVID (BUSINESS MANAGER)
NPI Enumeration Date07/07/2006

Related Entities

Other providers sharing the same authorized official: BECKER, DAVID

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 20,652 $1.61M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90834 Psychotherapy, 45 minutes with patient 37,684 21,846 $3.65M
99490 Ccm add 20min 18,656 17,990 $3.13M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,860 12,740 $1.01M
H0038 Self-help/peer services, per 15 minutes 7,171 3,909 $407K
90791 Psychiatric diagnostic evaluation 3,053 2,961 $405K
H2019 Therapeutic behavioral services, per 15 minutes 3,502 1,326 $280K
90792 Psychiatric diagnostic evaluation with medical services 1,349 1,312 $254K
H0037 Community psychiatric supportive treatment program, per diem 1,140 1,092 $193K
90832 Psychotherapy, 30 minutes with patient 3,652 2,832 $179K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,839 1,699 $123K
90837 Psychotherapy, 53 minutes with patient 786 518 $80K
90785 18,700 10,264 $69K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,088 1,054 $57K
90847 Family psychotherapy with the patient present, 50 minutes 423 341 $36K
Q3014 Telehealth originating site facility fee 1,391 1,273 $24K
90853 Group psychotherapy (other than of a multiple-family group) 102 46 $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) 2,502 2,456 $0.00
G9008 Coordinated care fee, physician coordinated care oversight services 9,093 8,783 $0.00
99439 450 430 $0.00
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 62 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)). 132 129 $0.00