Clinic
Pathways of Idaho, LLC
Pathways of Idaho, LLC was paid $11.97M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is H0038, Self-help/peer services, per 15 minutes — 31% of everything it billed.
33Billing provider infoPATHWAYS OF IDAHO, LLC
BOISE, ID 83704
BOISE, ID 83704
33aNPI1326466988assigned 04/01/2014
28Total paid$11.97M
24GClaims149,013
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Idaho
Rank by total paid#3 of 33
Median peer was paid$597K
This provider vs. median20×
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 | |
|---|---|---|---|
| 2018 | 43,344 | $3.69M | |
| 2019 | 44,563 | $3.77M | |
| 2020 | 46,781 | $3.41M | |
| 2021 | 2,857 | $137K | |
| 2022 | 2,709 | $211K | |
| 2023 | 4,930 | $431K | |
| 2024incomplete | 3,829 | $323K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0038 | Self-help/peer services, per 15 minutes | 31% | 34,814 | 9,649 | $3.67M |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 17% | 25,687 | 4,912 | $2.04M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 13% | 14,038 | 3,662 | $1.50M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 11% | 24,575 | 10,915 | $1.36M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 11% | 17,633 | 7,050 | $1.27M |
| 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 | 3.1% | 6,498 | 6,034 | $367K |
| S9485 | Crisis intervention mental health services, per diem | 2.5% | 854 | 484 | $295K |
| H0046 | Mental health services, not otherwise specified | 2.4% | 2,562 | 918 | $285K |
| T1016 | Case management, each 15 minutes | 2.0% | 2,832 | 1,211 | $240K |
| H0032 | Mental health service plan development by non-physician | 1.5% | 3,694 | 3,292 | $179K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.2% | 1,517 | 1,506 | $145K |
| T1014 | Telehealth transmission, per minute, professional services bill separately | 1.0% | 6,268 | 2,133 | $123K |
11 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 1,333 | $106K |
| H0031 | Mental health assessment, by non-physician | <1% | 1,450 | $93K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,818 | $73K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 840 | $62K |
| S9480 | Intensive outpatient psychiatric services, per diem | <1% | 364 | $59K |
| S5150 | Respite care, billed per 15 minutes | <1% | 564 | $52K |
| 99205 | Prolong outpt/office vis | <1% | 302 | $37K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 282 | $11K |
| H1011 | Family assessment by licensed behavioral health professional for state defined purposes | <1% | 394 | $8K |
| T2002 | Non-emergency transportation; per diem | <1% | 508 | $5K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 186 | $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
Authorized officialJONES, RYAN (IDAHO STATE DIRECTOR)
Parent organizationPATHWAYS HEALTH AND COMMUNITY SUPPORT, LLC
| Provider | Location | Paid |
|---|---|---|
| Alliance Community Hospital | Alliance, OH | $25.01M |
| Alliance Community Hospital | Alliance, OH | $1.09M |
| Mark a Britton DDS PLLC | Madisonville, TN | $813K |
| Alliance Community Hospital | Alliance, OH | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.