Agency
Pathways Counseling Center, INC.
Pathways Counseling Center, INC. was paid $742K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 31% of everything it billed.
33Billing provider infoPATHWAYS COUNSELING CENTER, INC.
OTTAWA, OH 45875
OTTAWA, OH 45875
33aNPI1134181084assigned 04/05/2006
33bProvider typeCase Management Agency
28Total paid$742K
24GClaims13,362
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in Ohio
Rank by total paid#49 of 90
Median peer was paid$1.18M
This provider vs. median0.6×
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 | 1,189 | $55K | |
| 2019 | 1,114 | $52K | |
| 2020 | 1,451 | $75K | |
| 2021 | 2,474 | $91K | |
| 2022 | 2,568 | $132K | |
| 2023 | 2,812 | $197K | |
| 2024incomplete | 1,754 | $139K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 31% | 3,127 | 1,975 | $233K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 2,657 | 2,213 | $127K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 17% | 2,554 | 1,778 | $127K |
| 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 | 17% | 1,640 | 1,467 | $124K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 8.0% | 651 | 580 | $60K |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 3.1% | 819 | 392 | $23K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.2% | 1,058 | 746 | $16K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 1.9% | 186 | 150 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 568 | 439 | $14K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 57 | 40 | $2K |
| 96130 | <1% | 20 | 13 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 12 | 12 | $938.03 |
1 more codes
| H2019 | Therapeutic behavioral services, billed per 15 minutes | <1% | 13 | $414.96 |
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 officialBAUMGARTNER, AARON (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Pathways Counseling Center, INC. | Ottawa, OH | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.