Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Pathways Human Services of North Carolina, LLC

Pathways Human Services of North Carolina, LLC was paid $10.22M by Medicaid between Oct 2020 and Nov 2024, across 7 billing codes. Its largest line is S5145, Foster care, therapeutic, child; per diem — 94% of everything it billed.

33Billing provider infoPATHWAYS HUMAN SERVICES OF NORTH CAROLINA, LLC
MOREHEAD CITY, NC 28557
33aNPI1275145997assigned 08/24/2020
33bProvider typeCounselor
28Total paid$10.22M
24GClaims58,389
24DCodes billed7
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers

Next to other Counselor providers in North Carolina

Rank by total paid#15 of 123
Median peer was paid$318K
This provider vs. median32×

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$200K$400K$600K2018201920202021202220232024
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
20206,073$1.07M
202122,054$3.78M
202214,513$2.25M
202310,271$2.05M
2024incomplete5,478$1.07M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S5145 Foster care, therapeutic, child; per diem 94% 53,277 1,617 $9.56M
H2022 Community-based wrap-around services, per diem 4.2% 1,824 153 $434K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 1.4% 1,851 717 $143K
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% 846 610 $58K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 297 177 $15K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 263 108 $8K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 31 25 $2K

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

Full network →

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