Pathways Children's Services

Pathways Children's Services was paid $1.43M by Medicaid between Apr 2018 and Aug 2023, across 6 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 84% of everything it billed.

33Billing provider infoPATHWAYS CHILDREN'S SERVICES
SPOKANE VALLEY, WA 99212

33aNPI1558673533assigned 07/07/2010

33bProvider typeBehavioral Analyst

28Total paid$1.43M

24GClaims11,290

24DCodes billed6

24AFirst – last monthApr 2018 – Aug 2023

Compared with peers

Next to other Behavioral Analyst providers in Washington

Rank by total paid#3 of 21

Median peer was paid$247K

This provider vs. median5.8×

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	721	$44K
2020	1,420	$223K
2021	2,582	$403K
2022	3,818	$433K
2023	2,749	$323K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
97153	Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes	84%	7,121	526	$1.20M
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	8.7%	1,739	374	$125K
97154		3.7%	1,614	166	$53K
0365T		2.6%	360	24	$36K
0364T		<1%	361	24	$8K
97156		<1%	95	52	$3K

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 officialDAVIS, BILLIE (OWNER)