PATHWAY LIVING CENTER, INC.
NPI: 1528272689
· CLINTON, IA 52732
· Community/Behavioral Health Agency
· NPI assigned 05/09/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code H2016 with only 3 total codes billed. Highly concentrated billing profile.
$6.20M
Total Medicaid Paid
Provider Details
| Authorized Official | PETERSON, MELISSA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 05/09/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,716 |
$950K |
| 2019 |
13,024 |
$1.02M |
| 2020 |
9,303 |
$844K |
| 2021 |
9,229 |
$815K |
| 2022 |
9,885 |
$907K |
| 2023 |
9,415 |
$900K |
| 2024 |
6,099 |
$756K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
62,059 |
4,529 |
$6.02M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
6,408 |
1,694 |
$167K |
| T2020 |
Day habilitation, waiver; per diem |
204 |
143 |
$12K |