Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PATHWAY FAMILY SERVICES

NPI: 1851007256 · BAKERSFIELD, CA 93301 · Supports Brokerage Agency · NPI assigned 01/30/2023

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

99% of spending on code G9012 with only 2 total codes billed. Highly concentrated billing profile.

$1.04M
Total Medicaid Paid
6,389
Total Claims
5,023
Beneficiaries
2
Codes Billed
2023-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, RICK (CEO/EXECUTIVE DIRECTOR)
NPI Enumeration Date01/30/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 333 $32K
2024 6,056 $1.01M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9012 Other specified case management service not elsewhere classified 6,132 4,858 $1.04M
G9008 Coordinated care fee, physician coordinated care oversight services 257 165 $7K