Medicaid Provider Spending

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

PATHWAYS HUMAN SERVICES OF NORTH CAROLINA, LLC

NPI: 1851903603 · WILMINGTON, NC 28403 · Counselor · NPI assigned 08/21/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HEDDEN, MELISSA controls 20+ related entities in our dataset. Read more

$3.79M
Total Medicaid Paid
24,873
Total Claims
6,792
Beneficiaries
13
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHEDDEN, MELISSA (STATE BUSINESS ANALYST & CONTRACTS)
NPI Enumeration Date08/21/2020

Related Entities

Other providers sharing the same authorized official: HEDDEN, MELISSA

ProviderCityStateTotal Paid
PATHWAYS HUMAN SERVICES OF NORTH CAROLINA, LLC ASHEVILLE NC $10.26M
PATHWAYS HUMAN SERVICES OF NORTH CAROLINA, LLC MOREHEAD CITY NC $10.22M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC ASHEVILLE NC $8.17M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC ASHEVILLE NC $6.56M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC HENDERSONVILLE NC $6.23M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC ASHEVILLE NC $5.90M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC HENDERSONVILLE NC $5.28M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC ASHEVILLE NC $4.23M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC FOREST CITY NC $3.61M
PATHWAYS HUMAN SERVICES OF NORTH CAROLINA, LLC GASTONIA NC $3.11M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC FOREST CITY NC $2.89M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC ASHEVILLE NC $2.55M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC FOREST CITY NC $2.48M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC HENDERSONVILLE NC $2.45M
PATHWAYS HUMAN SERVICES OF NORTH CAROLINA, LLC RALEIGH NC $2.26M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC ASHEVILLE NC $1.96M
PATHWAYS HUMAN SERVICES OF NORTH CAROLINA, LLC CHARLOTTE NC $1.91M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC ASHEVILLE NC $1.64M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC CHARLOTTE NC $1.31M
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC HENDERSONVILLE NC $1.03M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,769 $407K
2021 7,505 $1.43M
2022 5,370 $483K
2023 5,544 $638K
2024 4,685 $827K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2022 Community-based wrap-around services, per diem 4,114 511 $1.47M
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 4,538 393 $764K
T1017 Targeted case management, each 15 minutes 5,289 1,553 $499K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 2,139 349 $387K
90837 Psychotherapy, 53 minutes with patient 4,307 1,986 $331K
97156 2,406 557 $151K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,245 952 $91K
97152 132 63 $35K
90791 Psychiatric diagnostic evaluation 214 195 $23K
90832 Psychotherapy, 30 minutes with patient 338 150 $15K
97151 39 13 $8K
90834 Psychotherapy, 45 minutes with patient 94 53 $5K
99215 Prolong outpt/office vis 18 17 $2K