Physician
Pathways Human Services of North Carolina, LLC
Pathways Human Services of North Carolina, LLC was paid $2.26M by Medicaid between Oct 2020 and Nov 2024, across 9 billing codes.
Its largest line is 97153 , applied behavior analysis (autism therapy), per 15 minutes — 29% of everything it billed.
33 Billing provider infoPATHWAYS HUMAN SERVICES OF NORTH CAROLINA, LLC
33a NPI1285246991 assigned 08/24/2020
28 Total paid$2.26M
24G Claims15,471
24D Codes billed9
24A First – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Psychiatry Physician providers in North Carolina
Rank by total paid #18 of 165
Median peer was paid $187K
This provider vs. median 12×
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 Proliferation Authorized official HEDDEN, MELISSA controls 20+ related entities in our dataset.
Read more
Box 24A · Dates of service
Paid by month
$0 $100K $200K 2018 2019 2020 2021 2022 2023 2024
By year, as a table
Year Claims Paid
2020 2,429 $370K 2021 8,765 $1.26M 2022 1,300 $130K 2023 1,323 $194K 2024incomplete 1,654 $312K
Box 24 · Service lines
What it billed for
Code Service Share Claims Bene. records Paid
97153 Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes
29% 3,878
415
$667K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient
20% 5,654
1,796
$443K
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes
16% 1,443
1,074
$368K
H2022 Community-based wrap-around services, per diem
15% 1,025
217
$343K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes
14% 1,695
379
$313K
97156 4.6% 1,583
479
$105K
97151 <1% 77
37
$11K
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% 95
68
$8K
97152 <1% 21
12
$4K
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
Same official Other billing entities under HEDDEN, MELISSA Full network →
Provider Location Paid
Pathways Human Services of North Carolina, LLC Asheville, NC $10.26M Pathways Human Services of North Carolina, LLC Morehead City, NC $10.22M Family Preservation Services of North Carolina, LLC Asheville, NC $8.17M Family Preservation Services of North Carolina, LLC Asheville, NC $6.56M Family Preservation Services of North Carolina, LLC Hendersonville, NC $6.23M Family Preservation Services of North Carolina, LLC Asheville, NC $5.90M Family Preservation Services of North Carolina, LLC Hendersonville, NC $5.28M Family Preservation Services of North Carolina, LLC Asheville, NC $4.23M Pathways Human Services of North Carolina, LLC Wilmington, NC $3.79M Family Preservation Services of North Carolina, LLC Forest City, NC $3.61M Pathways Human Services of North Carolina, LLC Gastonia, NC $3.11M Family Preservation Services of North Carolina, LLC Forest City, NC $2.89M Family Preservation Services of North Carolina, LLC Asheville, NC $2.55M Family Preservation Services of North Carolina, LLC Forest City, NC $2.48M Family Preservation Services of North Carolina, LLC Hendersonville, NC $2.45M Family Preservation Services of North Carolina, LLC Asheville, NC $1.96M Pathways Human Services of North Carolina, LLC Charlotte, NC $1.91M Family Preservation Services of North Carolina, LLC Asheville, NC $1.64M Family Preservation Services of North Carolina, LLC Charlotte, NC $1.31M Family Preservation Services of North Carolina, LLC Hendersonville, NC $1.03M
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.