Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Pathways Human Services of North Carolina, LLC

Pathways Human Services of North Carolina, LLC was paid $3.79M by Medicaid between Oct 2020 and Dec 2024, across 13 billing codes. Its largest line is H2022, Community-based wrap-around services, per diem — 39% of everything it billed.

33Billing provider infoPATHWAYS HUMAN SERVICES OF NORTH CAROLINA, LLC
WILMINGTON, NC 28403
33aNPI1851903603assigned 08/21/2020
33bProvider typeCounselor
28Total paid$3.79M
24GClaims24,873
24DCodes billed13
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Counselor providers in North Carolina

Rank by total paid#24 of 123
Median peer was paid$318K
This provider vs. median12×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official HEDDEN, MELISSA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
20201,769$407K
20217,505$1.43M
20225,370$483K
20235,544$638K
2024incomplete4,685$827K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2022 Community-based wrap-around services, per diem 39% 4,114 511 $1.47M
97153 Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes 20% 4,538 393 $764K
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 13% 5,289 1,553 $499K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 10% 2,139 349 $387K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 8.8% 4,307 1,986 $331K
97156 4.0% 2,406 557 $151K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2.4% 1,245 952 $91K
97152 <1% 132 63 $35K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 214 195 $23K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 338 150 $15K
97151 <1% 39 13 $8K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 94 53 $5K
1 more codes
99215 Doctor's office visit, returning patient (complex) <1% 18 $2K

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 officialHEDDEN, MELISSA (STATE BUSINESS ANALYST & CONTRACTS)
Same official

Other billing entities under HEDDEN, MELISSA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.