Physician
Pathways Medical LLC
Pathways Medical LLC was paid $318K by Medicaid between Oct 2021 and Nov 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 90% of everything it billed.
33Billing provider infoPATHWAYS MEDICAL LLC
EDMOND, OK 73013
EDMOND, OK 73013
33aNPI1194185090assigned 03/04/2016
33bProvider typeFamily Medicine Physician
28Total paid$318K
24GClaims2,885
24DCodes billed2
24AFirst – last monthOct 2021 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Oklahoma
Rank by total paid#136 of 351
Median peer was paid$153K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2021 | 138 | $17K | |
| 2022 | 964 | $110K | |
| 2023 | 1,197 | $127K | |
| 2024incomplete | 586 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 90% | 2,666 | 2,153 | $287K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 9.8% | 219 | 219 | $31K |
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 officialRANDALL, ZACHORY (CEO/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pathways Professional Counseling LLC | Oklahoma City, OK | $3.40M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.