Pathways to Independence, INC.

Pathways to Independence, INC. was paid $8.58M by Medicaid between Jan 2018 and Nov 2024, across 1 billing code. Its largest line is T2021, day program for adults with developmental disabilities, per 15 minutes — 100% of everything it billed.

33Billing provider infoPATHWAYS TO INDEPENDENCE, INC.
KEARNY, NJ 07032

33aNPI1386074185assigned 11/15/2013

33bProvider typeDevelopmentally Disabled Services Day Training Agency

28Total paid$8.58M

24GClaims4,584

24DCodes billed1

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Developmentally Disabled Services Day Training Agency providers in New Jersey

Rank by total paid#55 of 154

Median peer was paid$4.61M

This provider vs. median1.9×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code T2021 with only 1 total codes billed. Highly concentrated billing profile.

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	638	$1.22M
2019	978	$2.01M
2020	396	$445K
2021	641	$497K
2022	414	$683K
2023	755	$1.79M
2024incomplete	762	$1.93M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2021	Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes	100%	4,584	4,419	$8.58M

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 officialCOX, ALVIN (EXECUTIVE DIRECTOR)