Pathway Caring for Children

Pathway Caring for Children was paid $9.40M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 40% of everything it billed.

33Billing provider infoPATHWAY CARING FOR CHILDREN
CANTON, OH 44718

33aNPI1720345556assigned 04/18/2012

33bProvider typeCase Management Agency

28Total paid$9.40M

24GClaims157,225

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Case Management Agency providers in Ohio

Rank by total paid#18 of 90

Median peer was paid$1.18M

This provider vs. median8.0×

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	18,610	$968K
2019	22,703	$1.34M
2020	17,898	$1.10M
2021	23,751	$1.41M
2022	25,500	$1.54M
2023	30,630	$1.80M
2024incomplete	18,133	$1.24M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	40%	60,249	25,979	$3.74M
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	34%	36,276	19,546	$3.23M
H0036	Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes	15%	31,913	16,129	$1.36M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	5.3%	7,891	5,502	$498K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	2.4%	4,753	3,357	$226K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	1.4%	1,420	1,237	$131K
90785		1.2%	11,663	6,222	$115K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	2,332	1,207	$51K
H2020	Therapeutic behavioral services, per diem	<1%	469	202	$34K
H2000	Comprehensive multidisciplinary evaluation	<1%	27	27	$4K
99354		<1%	18	17	$829.15
H2012	Behavioral health day treatment, per hour	<1%	214	93	$556.20

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 officialUMBERGER, GREGG (CHIEF FINANCIAL OFFICER)