Agency
Pathways to Achievement, INC.
Pathways to Achievement, INC. was paid $299K by Medicaid between Jan 2018 and Feb 2023, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
33Billing provider infoPATHWAYS TO ACHIEVEMENT, INC.
DULUTH, MN 55806
DULUTH, MN 55806
33aNPI1356442065assigned 09/26/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$299K
24GClaims11,640
24DCodes billed7
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Community/Behavioral Health Agency providers in Minnesota
Rank by total paid#200 of 312
Median peer was paid$741K
This provider vs. median0.4×
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 | 3,260 | $11K | |
| 2019 | 3,490 | $55K | |
| 2020 | 2,189 | $70K | |
| 2021 | 1,202 | $68K | |
| 2022 | 1,330 | $80K | |
| 2023 | 169 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 66% | 3,431 | 3,002 | $196K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.8% | 589 | 523 | $29K |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 9.3% | 3,080 | 697 | $28K |
| S0215 | Non-emergency transportation; mileage, per mile | 6.8% | 3,085 | 699 | $20K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 5.1% | 1,314 | 626 | $15K |
| T1030 | Nursing care, in the home, by registered nurse, per diem | 2.2% | 90 | 62 | $7K |
| 99205 | Prolong outpt/office vis | 1.2% | 51 | 49 | $3K |
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 officialNEUMANN, SHAWN (PRESIDENT)