Clinic
Pathways, INC.
Pathways, INC. was paid $95.51M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 97535, Self-care/home management training, each 15 minutes — 59% of everything it billed.
33Billing provider infoPATHWAYS, INC.
ASHLAND, KY 41101
ASHLAND, KY 41101
33aNPI1962568477assigned 12/29/2006
28Total paid$95.51M
24GClaims828,998
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Kentucky
Rank by total paid#2 of 29
Median peer was paid$829K
This provider vs. median115×
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 | 126,957 | $11.10M | |
| 2019 | 143,518 | $12.53M | |
| 2020 | 128,670 | $13.32M | |
| 2021 | 114,434 | $13.38M | |
| 2022 | 109,991 | $14.00M | |
| 2023 | 110,971 | $15.22M | |
| 2024incomplete | 94,457 | $15.97M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97535 | Self-care/home management training, each 15 minutes | 59% | 453,694 | 26,194 | $55.95M |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 20% | 168,882 | 8,920 | $19.43M |
| T2022 | Case management, per month | 8.6% | 30,620 | 29,466 | $8.19M |
| S5108 | Home care training to home care client, per 15 minutes | 5.8% | 57,601 | 3,004 | $5.56M |
| T2040 | Financial management, self-directed, waiver; per 15 minutes | 3.2% | 60,483 | 32,055 | $3.06M |
| T1005 | Respite care services, up to 15 minutes | 2.8% | 47,207 | 9,978 | $2.72M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | <1% | 10,511 | 778 | $599K |
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 officialLEACH, TOM (CFO)