Agency
Positive Pathways Counseling and Behavioral Health Services, LLC
Positive Pathways Counseling and Behavioral Health Services, LLC was paid $1.19M by Medicaid between Sep 2022 and Mar 2024, across 1 billing code. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 100% of everything it billed.
33Billing provider infoPOSITIVE PATHWAYS COUNSELING AND BEHAVIORAL HEALTH SERVICES, LLC
SOUTH BOSTON, VA 24592
SOUTH BOSTON, VA 24592
33aNPI1588220768assigned 05/14/2019
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$1.19M
24GClaims3,491
24DCodes billed1
24AFirst – last monthSep 2022 – Mar 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Virginia
Rank by total paid#304 of 565
Median peer was paid$1.46M
This provider vs. median0.8×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code 97153 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 | |
|---|---|---|---|
| 2022 | 301 | $234K | |
| 2023 | 2,426 | $778K | |
| 2024incomplete | 764 | $179K |
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 | 100% | 3,491 | 300 | $1.19M |
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 officialROSS, TAMARA (OWNER)