Agency
Pathways Community Hospice, LLC
Pathways Community Hospice, LLC was paid $4.86M by Medicaid between Jan 2018 and Jun 2024, across 1 billing code. Its largest line is Y9504, — 100% of everything it billed.
33Billing provider infoPATHWAYS COMMUNITY HOSPICE, LLC
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
33aNPI1447245360assigned 09/16/2005
33bProvider typeCommunity Based Hospice Care Agency
28Total paid$4.86M
24GClaims3,388
24DCodes billed1
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Community Based Hospice Care Agency providers in Missouri
Rank by total paid#8 of 77
Median peer was paid$783K
This provider vs. median6.2×
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 Y9504 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 | 548 | $552K | |
| 2019 | 352 | $432K | |
| 2020 | 632 | $594K | |
| 2021 | 429 | $683K | |
| 2022 | 274 | $694K | |
| 2023 | 771 | $1.28M | |
| 2024incomplete | 382 | $622K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Y9504 | 100% | 3,388 | 1,592 | $4.86M |
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 officialHARTMANN, GAIL (TREASURER)
| Provider | Location | Paid |
|---|---|---|
| Delmar Gardens of Green Valley Operating LLC | Henderson, NV | $548K |
| Specialized Wound Management LLC | Chesterfield, MO | $456K |
| Delmar Gardens of Omaha, LLC | Omaha, NE | $79K |
| Delmar Gardens of South County, INC. | Saint Louis, MO | $16K |
| Pathways Palliative Care, LLC | Chesterfield, MO | $14K |
| Delmar Gardens West Operating, LLC | Town & Country, MO | $1K |
| Delmar Gardens of O'fallon, LLC | O Fallon, MO | $223.99 |
| Delmar Gardens of Lenexa Operating, LLC | Lenexa, KS | $162.62 |
| Delmar Gardens of Overland Park Operating, LLC | Overland Park, KS | $0.00 |
| Delmar Gardens of Creve Coeur Operating, LLC | Creve Coeur, MO | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.