Pathways to Success, LLC

Pathways to Success, LLC was paid $1.01M by Medicaid between Jun 2021 and Oct 2024, across 2 billing codes. Its largest line is H2011, Crisis intervention service, per 15 minutes — 95% of everything it billed.

33Billing provider infoPATHWAYS TO SUCCESS, LLC
HIGHLAND SPRINGS, VA 23075

33aNPI1184903429assigned 08/04/2011

33bProvider typeIn Home Supportive Care Agency

28Total paid$1.01M

24GClaims589

24DCodes billed2

24AFirst – last monthJun 2021 – Oct 2024

Compared with peers

Next to other In Home Supportive Care Agency providers in Virginia

Rank by total paid#79 of 106

Median peer was paid$2.84M

This provider vs. median0.4×

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.

Single-Code Concentration95% of spending on code H2011 with only 2 total codes billed. Highly concentrated billing profile.

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
2021	308	$54K
2023	43	$84K
2024incomplete	238	$867K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2011	Crisis intervention service, per 15 minutes	95%	281	226	$952K
H2012	Behavioral health day treatment, per hour	5.4%	308	24	$54K

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 officialALLAH, JAMAAL (OWNER)