Behavioral
Pathways INC
Pathways INC was paid $281K by Medicaid between Jan 2018 and Oct 2022, across 6 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 63% of everything it billed.
33Billing provider infoPATHWAYS INC
LEXINGTON PARK, MD 20653
LEXINGTON PARK, MD 20653
33aNPI1689120883assigned 08/28/2016
33bProvider typeMental Health Counselor
28Total paid$281K
24GClaims3,438
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other Mental Health Counselor providers in Maryland
Rank by total paid#134 of 400
Median peer was paid$112K
This provider vs. median2.5×
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 | 683 | $53K | |
| 2019 | 1,483 | $131K | |
| 2020 | 1,027 | $79K | |
| 2021 | 181 | $13K | |
| 2022 | 64 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 63% | 1,762 | 1,284 | $178K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 16% | 756 | 479 | $44K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.0% | 378 | 358 | $25K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.9% | 70 | 70 | $14K |
| H0032 | Mental health service plan development by non-physician | 4.6% | 138 | 138 | $13K |
| Q3014 | Telehealth originating site facility fee | 2.6% | 334 | 323 | $7K |
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 officialMCGLOIN, GERARD (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Pathways INC | Hollywood, MD | $14.23M |
| Pathways, INC. | Waldorf, MD | $2.47M |
| Pathways INC | Waldorf, MD | $1.68M |
| Pathways INC | Hollywood, MD | $433K |
| Pathways, INC | Waldorf, MD | $307K |
| Pathways INC | Upper Marlboro, MD | $214K |
| Pathways INC | Hollywood, MD | $124K |
| Pathways, INC | Upper Marlboro, MD | $92K |
| Pathways, INC. | Waldorf, MD | $72K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.