Agency
Therapeutic Pathways, INC.
Therapeutic Pathways, INC. was paid $41K by Medicaid between Jan 2018 and Jul 2023, across 6 billing codes. Its largest line is 92507, Treatment of speech, language, voice, communication, and/or auditory processing disorder — 66% of everything it billed.
33Billing provider infoTHERAPEUTIC PATHWAYS, INC.
MODESTO, CA 95354
MODESTO, CA 95354
33aNPI1962638486assigned 06/10/2009
33bProvider typeEarly Intervention Provider Agency
28Total paid$41K
24GClaims25,355
24DCodes billed6
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Early Intervention Provider Agency providers in California
Rank by total paid#45 of 51
Median peer was paid$1.55M
This provider vs. median0.0×
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 | 6,391 | $3K | |
| 2019 | 3,231 | $7K | |
| 2020 | 941 | $8K | |
| 2021 | 6,274 | $15K | |
| 2022 | 5,843 | $7K | |
| 2023 | 2,675 | $873.13 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 66% | 594 | 205 | $27K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 15% | 17,144 | 1,393 | $6K |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 9.9% | 45 | 13 | $4K |
| H0032 | Mental health service plan development by non-physician | 9.4% | 4,553 | 791 | $4K |
| H2012 | Behavioral health day treatment, per hour | <1% | 2,793 | 361 | $97.50 |
| S5111 | Home care training, family; per session | 0% | 226 | 209 | $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.
From NPPES
Who's on the registration
Authorized officialSPARKMAN, COLEEN (DIRECTOR)