Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pathways Human Services of North Carolina, LLC

Pathways Human Services of North Carolina, LLC was paid $3.11M by Medicaid between Oct 2020 and Nov 2024, across 8 billing codes. Its largest line is H2022, Community-based wrap-around services, per diem — 88% of everything it billed.

33Billing provider infoPATHWAYS HUMAN SERVICES OF NORTH CAROLINA, LLC
GASTONIA, NC 28054
33aNPI1184236366assigned 08/19/2020
28Total paid$3.11M
24GClaims11,637
24DCodes billed8
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers

Next to other Psychiatric/Mental Health Nurse Practitioner providers in North Carolina

Rank by total paid#2 of 40
Median peer was paid$40K
This provider vs. median78×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official HEDDEN, MELISSA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
20201,340$354K
20214,722$1.01M
20222,491$442K
20231,660$650K
2024incomplete1,424$652K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2022 Community-based wrap-around services, per diem 88% 6,537 1,350 $2.73M
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 8.3% 3,476 1,045 $259K
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 1.0% 187 186 $32K
H202222 <1% 99 35 $31K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 824 268 $26K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 327 163 $15K
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 <1% 137 99 $12K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 50 26 $3K

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 officialHEDDEN, MELISSA (CONTRACT MANAGER)
Same official

Other billing entities under HEDDEN, MELISSA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.