Behavioral
Positive Pathways LLC
Positive Pathways LLC was paid $4.75M by Medicaid between Jan 2018 and May 2022, across 5 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 77% of everything it billed.
33Billing provider infoPOSITIVE PATHWAYS LLC
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
33aNPI1336568344assigned 04/08/2014
33bProvider typeBehavioral Analyst
28Total paid$4.75M
24GClaims24,472
24DCodes billed5
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Behavioral Analyst providers in California
Rank by total paid#50 of 385
Median peer was paid$476K
This provider vs. median10.0×
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 | 9,308 | $1.86M | |
| 2019 | 8,040 | $1.54M | |
| 2020 | 4,949 | $940K | |
| 2021 | 1,338 | $245K | |
| 2022 | 837 | $164K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 77% | 18,717 | 1,582 | $3.67M |
| H2012 | Behavioral health day treatment, per hour | 14% | 3,239 | 573 | $649K |
| H0032 | Mental health service plan development by non-physician | 6.6% | 1,404 | 455 | $314K |
| S5111 | Home care training, family; per session | 1.4% | 708 | 283 | $65K |
| H0046 | Mental health services, not otherwise specified | 1.2% | 404 | 105 | $59K |
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 officialZODY, MICHELLE (EXECUTIVE DIRECTOR)