New Pathway Counseling Services
New Pathway Counseling Services was paid $2.25M by Medicaid between Jan 2018 and May 2023, across 12 billing codes. Its largest line is H0015, Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education — 72% of everything it billed.
PINE BROOK, NJ 07058
Next to other Substance Abuse Rehabilitation Facility providers in New Jersey
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,086 | $536K | |
| 2019 | 7,585 | $600K | |
| 2020 | 5,860 | $440K | |
| 2021 | 4,824 | $330K | |
| 2022 | 2,935 | $269K | |
| 2023 | 692 | $80K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 72% | 14,773 | 2,132 | $1.62M |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 11% | 8,881 | 1,965 | $244K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 7.1% | 1,760 | 1,041 | $160K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 1,175 | 1,032 | $64K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.7% | 370 | 367 | $60K |
| 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 | 2.5% | 464 | 381 | $56K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.3% | 80 | 79 | $29K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 114 | 73 | $8K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 80 | 57 | $6K |
| 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 | <1% | 25 | 24 | $2K |
| A0090 | Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest | <1% | 130 | 34 | $1K |
| A0425 | Ground mileage, per statute mile | <1% | 130 | 34 | $645.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| New Pathway Counseling Services | Paramus, NJ | $637K |
| New Pathway Counseling Services | Bayonne, NJ | $500K |
| Kore Autism Services LLC | Houston, TX | $73K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.