Behavioral
Pathways Behavioral Services INC
Pathways Behavioral Services INC was paid $4.53M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 33% of everything it billed.
33Billing provider infoPATHWAYS BEHAVIORAL SERVICES INC
WATERLOO, IA 50701
WATERLOO, IA 50701
33aNPI1689734451assigned 12/11/2006
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$4.53M
24GClaims40,247
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Iowa
Rank by total paid#5 of 37
Median peer was paid$124K
This provider vs. median37×
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 | 1,990 | $167K | |
| 2019 | 5,485 | $429K | |
| 2020 | 7,115 | $686K | |
| 2021 | 6,457 | $754K | |
| 2022 | 7,298 | $819K | |
| 2023 | 6,599 | $851K | |
| 2024incomplete | 5,303 | $825K |
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 | 33% | 16,282 | 11,502 | $1.51M |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 32% | 6,200 | 619 | $1.46M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 12% | 4,693 | 4,532 | $547K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 5.9% | 4,563 | 2,032 | $267K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 4.6% | 2,221 | 477 | $208K |
| H0017 | Behavioral health; residential (hospital residential treatment program), without room and board, per diem | 4.6% | 618 | 195 | $207K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.0% | 3,775 | 3,120 | $182K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.0% | 1,552 | 1,091 | $137K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | <1% | 87 | 44 | $9K |
| 99490 | Ccm add 20min | <1% | 54 | 43 | $6K |
| 80305 | <1% | 202 | 137 | $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 officialBECKER, DAVID (BUSINESS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Walnut Street Community Health Center, INC. | Hagerstown, MD | $19.32M |
| Pathways Behavioral Services INC | Waverly, IA | $9.91M |
| Walnut Street Community Health Center INC. | Hagerstown, MD | $96K |
| Becker, Becker & Silvius, LLC | Revere, MA | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.