Physician
Pathways Medical Partners
Pathways Medical Partners was paid $1.06M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 25% of everything it billed.
33Billing provider infoPATHWAYS MEDICAL PARTNERS
TUCSON, AZ 85728
TUCSON, AZ 85728
33aNPI1144762238assigned 11/07/2016
33bProvider typeFamily Medicine Physician
28Total paid$1.06M
24GClaims30,032
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Arizona
Rank by total paid#70 of 442
Median peer was paid$77K
This provider vs. median14×
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 | 2,330 | $70K | |
| 2019 | 3,476 | $125K | |
| 2020 | 3,940 | $146K | |
| 2021 | 7,046 | $256K | |
| 2022 | 5,772 | $200K | |
| 2023 | 4,200 | $144K | |
| 2024incomplete | 3,268 | $115K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 25% | 8,484 | 4,333 | $267K |
| 99336 | 22% | 5,909 | 3,960 | $234K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 10% | 2,721 | 780 | $109K |
| 99310 | Prolong nursin fac eval 15m | 9.4% | 2,222 | 1,627 | $99K |
| 99349 | 9.4% | 2,940 | 2,202 | $99K | |
| 99223 | Prolong inpt eval add15 m | 6.4% | 979 | 888 | $67K |
| 99497 | 5.9% | 2,242 | 2,075 | $62K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.8% | 2,701 | 1,325 | $50K |
| 99306 | Prolong nursin fac eval 15m | 3.1% | 431 | 413 | $33K |
| 99356 | 1.6% | 474 | 360 | $16K | |
| 99335 | <1% | 337 | 297 | $8K | |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | <1% | 321 | 317 | $5K |
8 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 34 | $2K |
| 99305 | <1% | 27 | $2K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 80 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $571.74 |
| 99350 | Prolong home eval add 15m | <1% | 15 | $487.41 |
| 90688 | <1% | 28 | $152.45 | |
| G0008 | Administration of influenza virus vaccine | <1% | 61 | $77.22 |
| G0316 | Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using 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 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) | <1% | 13 | $50.25 |
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 officialBORBON, IVAN (OWNER)