Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$100K$200K$300K2018201920202021202220232024
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
20189,308$1.86M
20198,040$1.54M
20204,949$940K
20211,338$245K
2022837$164K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)