Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PATHWAYS OF TENNESSEE, INC.

NPI: 1497721609 · JACKSON, TN 38301 · Clinic/Center · NPI assigned 02/27/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PRESCOTT, TINA controls 17+ related entities in our dataset. Read more

$30.54M
Total Medicaid Paid
674,718
Total Claims
468,463
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRESCOTT, TINA (PRESIDENT AND CEO)
NPI Enumeration Date02/27/2006

Related Entities

Other providers sharing the same authorized official: PRESCOTT, TINA

ProviderCityStateTotal Paid
JACKSON MADISON COUNTY GENERAL HOSPITAL JACKSON TN $46.51M
DYERSBURG HEALTH DYERSBURG TN $13.19M
JACKSON-MADISON COUNTY GENERAL HOSPITAL JACKSON TN $12.97M
JACKSON-MADISON COUNTY GENERAL HOSPITAL JACKSON TN $7.37M
WT MEDICAL ASSOCIATES DYERSBURG TN $5.52M
WEST TENNESSEE HEALTHCARE HENRY COUNTY PARIS TN $4.47M
THERAPY & LEARNING CENTER INC JACKSON TN $4.19M
MARTIN HEALTH MARTIN TN $3.94M
MILAN GENERAL HOSPITAL, INC. MILAN TN $3.54M
CAMDEN GENERAL HOSPITAL, INC. CAMDEN TN $3.46M
PATHWAYS OF TENNESSEE, INC. JACKSON TN $3.30M
BOLIVAR GENERAL HOSPITAL, INC. BOLIVAR TN $2.36M
MARTIN HEALTH SOUTH FULTON TN $1.47M
LIFT THERAPY, INC. JACKSON TN $778K
JACKSON-MADISON COUNTY GENERAL HOSPITAL JACKSON TN $449K
WEST TENNESSEE HEALTHCARE HENRY COUNTY PARIS TN $136K
JACKSON-MADISON COUNTY GENERAL HOSPITAL JACKSON TN $108K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 105,102 $4.55M
2019 70,064 $3.12M
2020 80,778 $3.60M
2021 98,085 $4.01M
2022 110,541 $5.12M
2023 121,158 $5.75M
2024 88,990 $4.40M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0280 Medical home program, comprehensive care coordination and planning, initial plan 136,260 89,532 $16.56M
90837 Psychotherapy, 53 minutes with patient 59,898 34,396 $4.18M
90834 Psychotherapy, 45 minutes with patient 49,706 34,111 $2.39M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 52,355 40,167 $1.79M
90791 Psychiatric diagnostic evaluation 17,859 13,296 $1.54M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 34,753 25,307 $1.54M
90792 Psychiatric diagnostic evaluation with medical services 7,498 5,651 $579K
90832 Psychotherapy, 30 minutes with patient 14,649 10,428 $512K
H2017 Psychosocial rehabilitation services, per 15 minutes 4,853 655 $477K
99215 Prolong outpt/office vis 5,176 4,059 $215K
H0038 Self-help/peer services, per 15 minutes 3,656 1,249 $178K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,136 3,884 $168K
99232 Subsequent hospital care, per day, moderate complexity 2,577 1,262 $79K
H0033 Oral medication administration, direct observation 528 312 $61K
99222 Initial hospital care, per day, moderate complexity 838 598 $44K
90847 Family psychotherapy with the patient present, 50 minutes 486 267 $43K
99223 Prolong inpt eval add15 m 415 300 $42K
99238 Hospital discharge day management, 30 minutes or less 1,002 822 $38K
90853 Group psychotherapy (other than of a multiple-family group) 1,269 361 $37K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,337 712 $29K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,155 6,665 $19K
99442 1,486 1,341 $11K
H0049 Alcohol and/or drug screening 1,086 822 $5K
H0034 Medication training and support, per 15 minutes 344 300 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 65 65 $2K
99239 Hospital discharge day management, more than 30 minutes 37 28 $1K
90836 43 41 $1K
3008F 9,490 6,775 $1K
36415 Collection of venous blood by venipuncture 456 439 $862.53
90846 Family psychotherapy without the patient present, 50 minutes 12 12 $689.44
99221 13 12 $179.94
G9010 Coordinated care fee, risk adjusted maintenance, level 4 64,043 47,537 $176.89
G9005 Coordinated care fee, risk adjusted maintenance 78,556 53,741 $0.16
G9007 Coordinated care fee, scheduled team conference 28,092 20,949 $0.06
G9004 Coordinated care fee, risk adjusted low, initial 37,094 26,455 $0.05
G9006 Coordinated care fee, home monitoring 17,934 14,517 $0.03
3074F 1,770 1,169 $0.00
3075F 246 215 $0.00
3079F 206 183 $0.00
G9011 Coordinated care fee, risk adjusted maintenance, level 5 14,301 10,889 $0.00
3078F 1,936 1,282 $0.00
S9485 Crisis intervention mental health services, per diem 9,089 7,645 $0.00
80305 13 12 $0.00