Medicaid Provider Spending

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

PATHWAYS HUMAN SERVICES OF NORTH CAROLINA, LLC

NPI: 1174135883 · ASHEVILLE, NC 28806 · Counselor · NPI assigned 08/24/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HEDDEN, MELISSA controls 20+ related entities in our dataset. Read more

$10.26M
Total Medicaid Paid
60,991
Total Claims
15,627
Beneficiaries
18
Codes Billed
2020-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHEDDEN, MELISSA (CONTRACT MANAGER)
NPI Enumeration Date08/24/2020

Related Entities

Other providers sharing the same authorized official: HEDDEN, MELISSA

ProviderCityStateTotal Paid
PATHWAYS HUMAN SERVICES OF NORTH CAROLINA, LLC MOREHEAD CITY NC $10.22M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC ASHEVILLE NC $8.17M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC ASHEVILLE NC $6.56M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC HENDERSONVILLE NC $6.23M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC ASHEVILLE NC $5.90M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC HENDERSONVILLE NC $5.28M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC ASHEVILLE NC $4.23M
PATHWAYS HUMAN SERVICES OF NORTH CAROLINA, LLC WILMINGTON NC $3.79M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC FOREST CITY NC $3.61M
PATHWAYS HUMAN SERVICES OF NORTH CAROLINA, LLC GASTONIA NC $3.11M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC FOREST CITY NC $2.89M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC ASHEVILLE NC $2.55M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC FOREST CITY NC $2.48M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC HENDERSONVILLE NC $2.45M
PATHWAYS HUMAN SERVICES OF NORTH CAROLINA, LLC RALEIGH NC $2.26M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC ASHEVILLE NC $1.96M
PATHWAYS HUMAN SERVICES OF NORTH CAROLINA, LLC CHARLOTTE NC $1.91M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC ASHEVILLE NC $1.64M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC CHARLOTTE NC $1.31M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC HENDERSONVILLE NC $1.03M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 5,047 $838K
2021 20,964 $3.09M
2022 14,407 $2.42M
2023 14,765 $2.91M
2024 5,808 $996K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2022 Community-based wrap-around services, per diem 19,411 1,882 $5.17M
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 8,097 767 $2.09M
90837 Psychotherapy, 53 minutes with patient 16,516 5,351 $1.14M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 2,720 665 $657K
T1017 Targeted case management, each 15 minutes 1,234 826 $354K
90834 Psychotherapy, 45 minutes with patient 6,485 2,658 $311K
97156 2,316 757 $202K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,868 1,425 $144K
90832 Psychotherapy, 30 minutes with patient 949 465 $40K
90847 Family psychotherapy with the patient present, 50 minutes 624 314 $38K
97155GT 141 69 $33K
97152 90 65 $31K
97156GT 169 85 $17K
H2022GT 38 26 $10K
90846 Family psychotherapy without the patient present, 50 minutes 143 105 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 153 136 $7K
99215 Prolong outpt/office vis 25 19 $3K
99214GT 12 12 $1K