Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PATHWAYS HUMAN SERVICES OF NORTH CAROLINA, LLC

NPI: 1285246991 · RALEIGH, NC 27615 · Psychiatry Physician · NPI assigned 08/24/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HEDDEN, MELISSA controls 20+ related entities in our dataset. Read more

$2.26M
Total Medicaid Paid
15,471
Total Claims
4,477
Beneficiaries
9
Codes Billed
2020-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHEDDEN, MELISSA (CONTRACT MANAGER)
NPI Enumeration Date08/24/2020

Related Entities

Other providers sharing the same authorized official: HEDDEN, MELISSA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,429 $370K
2021 8,765 $1.26M
2022 1,300 $130K
2023 1,323 $194K
2024 1,654 $312K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 3,878 415 $667K
90837 Psychotherapy, 53 minutes with patient 5,654 1,796 $443K
T1017 Targeted case management, each 15 minutes 1,443 1,074 $368K
H2022 Community-based wrap-around services, per diem 1,025 217 $343K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 1,695 379 $313K
97156 1,583 479 $105K
97151 77 37 $11K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 95 68 $8K
97152 21 12 $4K