Agency
Pathways of Maine, LLC
Pathways of Maine, LLC was paid $22.29M by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is H2021, Community-based wrap-around services, per 15 minutes — 85% of everything it billed.
33Billing provider infoPATHWAYS OF MAINE, LLC
BRUNSWICK, ME 04011
BRUNSWICK, ME 04011
33aNPI1174851042assigned 12/03/2009
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$22.29M
24GClaims99,191
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Maine
Rank by total paid#11 of 116
Median peer was paid$1.80M
This provider vs. median12×
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 | 13,838 | $3.16M | |
| 2019 | 11,723 | $2.73M | |
| 2020 | 13,143 | $2.48M | |
| 2021 | 27,644 | $4.76M | |
| 2022 | 21,632 | $3.55M | |
| 2023 | 5,106 | $2.48M | |
| 2024incomplete | 6,105 | $3.13M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2021 | Community-based wrap-around services, per 15 minutes | 85% | 67,392 | 6,975 | $18.87M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 6.7% | 18,055 | 4,203 | $1.50M |
| H2012 | Behavioral health day treatment, per hour | 5.6% | 5,336 | 241 | $1.26M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1.7% | 5,100 | 1,497 | $376K |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | <1% | 1,770 | 386 | $195K |
| G9007 | Coordinated care fee, scheduled team conference | <1% | 1,064 | 371 | $68K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 474 | 75 | $21K |
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 officialZENGA, NICOLE (DIRECTOR OF OPERATIONS)
| Provider | Location | Paid |
|---|---|---|
| Pathways of Maine, INC. | Brunswick, ME | $3.74M |
| Pathways of Maine, INC. | Bangor, ME | $3.45M |
| Pathways of Maine, INC. | Scarborough, ME | $3.07M |
| Pathways of Maine, INC. | Brunswick, ME | $2.66M |
| Pathways of Maine, INC. | Hallowell, ME | $2.12M |
| Pathways of Maine, INC. | Auburn, ME | $2.02M |
| Pathways of Massachusetts, LLC | Springfield, MA | $1.14M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.