Residential
Pathways Behavioral Health Service INC.
Pathways Behavioral Health Service INC. was paid $6.95M by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is T2013, Habilitation, educational, waiver; per hour — 87% of everything it billed.
33Billing provider infoPATHWAYS BEHAVIORAL HEALTH SERVICE INC.
NEW BERN, NC 28560
NEW BERN, NC 28560
33aNPI1376737361assigned 09/01/2007
28Total paid$6.95M
24GClaims34,338
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Intellectual and/or Developmental Disabilities Residential Treatment Facility providers in North Carolina
Rank by total paid#7 of 27
Median peer was paid$1.10M
This provider vs. median6.3×
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 | 3,895 | $686K | |
| 2019 | 4,441 | $813K | |
| 2020 | 4,331 | $995K | |
| 2021 | 4,116 | $935K | |
| 2022 | 5,104 | $974K | |
| 2023 | 6,250 | $1.27M | |
| 2024incomplete | 6,201 | $1.28M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2013 | Habilitation, educational, waiver; per hour | 87% | 28,551 | 1,078 | $6.02M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 12% | 4,441 | 236 | $823K |
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | 1.5% | 1,312 | 134 | $103K |
| T2012 | Habilitation, educational; waiver, per diem | <1% | 34 | 13 | $9K |
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 officialHILL, JIMMIE (C EO)