Physician
New Pathways Clinic LLC
New Pathways Clinic LLC was paid $653K by Medicaid between May 2022 and Dec 2024, across 4 billing codes. Its largest line is 99417, Prolong home eval add 15m — 55% of everything it billed.
33Billing provider infoNEW PATHWAYS CLINIC LLC
MIDDLEBURG HEIGHTS, OH 44130
MIDDLEBURG HEIGHTS, OH 44130
33aNPI1619640414assigned 07/28/2021
33bProvider typePsychiatry Physician
28Total paid$653K
24GClaims7,636
24DCodes billed4
24AFirst – last monthMay 2022 – Dec 2024
Compared with peers
Next to other Psychiatry Physician providers in Ohio
Rank by total paid#21 of 194
Median peer was paid$27K
This provider vs. median24×
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 | |
|---|---|---|---|
| 2022 | 729 | $46K | |
| 2023 | 3,128 | $238K | |
| 2024incomplete | 3,779 | $369K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99417 | Prolong home eval add 15m | 55% | 3,637 | 1,407 | $361K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 43% | 3,855 | 1,401 | $278K |
| 99205 | Prolong outpt/office vis | 1.5% | 109 | 94 | $10K |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 35 | 12 | $4K |
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 officialSUNTALA, STEPHEN (OWNER)