Pathways Healthcare, LLC
Pathways Healthcare, LLC was paid $724K by Medicaid between Mar 2018 and Dec 2024, across 11 billing codes. Its largest line is G0299, Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes — 27% of everything it billed.
WESTWOOD, MA 02090
Next to other Community Based Hospice Care Agency providers in Massachusetts
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,545 | $36K | |
| 2019 | 1,950 | $15K | |
| 2020 | 4,956 | $55K | |
| 2021 | 7,102 | $74K | |
| 2022 | 8,721 | $69K | |
| 2023 | 11,107 | $240K | |
| 2024incomplete | 11,282 | $236K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 27% | 19,450 | 4,725 | $194K |
| T2046 | Hospice long term care, room and board only; per diem | 23% | 1,010 | 38 | $169K |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | 18% | 6,218 | 1,776 | $130K |
| S9123 | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) | 17% | 6,912 | 1,873 | $124K |
| G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | 6.7% | 2,173 | 846 | $49K |
| S9131 | Physical therapy; in the home, per diem | 5.9% | 3,168 | 873 | $43K |
| S9129 | Occupational therapy, in the home, per diem | 1.8% | 1,134 | 411 | $13K |
| G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | <1% | 230 | 99 | $3K |
| G0155 | Services of clinical social worker in home health or hospice settings, each 15 minutes | 0% | 1,155 | 709 | $0.00 |
| Q5001 | Hospice or home health care provided in patient's home/residence | 0% | 1,444 | 1,239 | $0.00 |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 0% | 3,769 | 396 | $0.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Pathways Healthcare, LLC | Londonderry, NH | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.