Clinic
Pathways Group Homes
Pathways Group Homes was paid $306K by Medicaid between Aug 2021 and Jan 2022, across 1 billing code. Its largest line is H0019, Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem — 100% of everything it billed.
33Billing provider infoPATHWAYS GROUP HOMES
GASTONIA, NC 28052
GASTONIA, NC 28052
33aNPI1235621335assigned 06/04/2018
33bProvider typeAdolescent and Children Mental Health Clinic/Center
28Total paid$306K
24GClaims1,068
24DCodes billed1
24AFirst – last monthAug 2021 – Jan 2022
Compared with peers
Next to other Adolescent and Children Mental Health Clinic/Center providers in North Carolina
Rank by total paid#11 of 18
Median peer was paid$812K
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.
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 | 762 | $226K | |
| 2022 | 306 | $80K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0019 | Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem | 100% | 1,068 | 52 | $306K |
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 officialBANNER, TAYLOR (DIRECTOR)