Clinic
Pathway Mental Health
Pathway Mental Health was paid $192K by Medicaid between Jul 2022 and Dec 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoPATHWAY MENTAL HEALTH
MADISONVILLE, KY 42431
MADISONVILLE, KY 42431
33aNPI1982378436assigned 08/06/2021
28Total paid$192K
24GClaims3,955
24DCodes billed6
24AFirst – last monthJul 2022 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Kentucky
Rank by total paid#21 of 29
Median peer was paid$829K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2022 | 281 | $12K | |
| 2023 | 1,710 | $87K | |
| 2024incomplete | 1,964 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 1,922 | 1,443 | $76K |
| 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 | 29% | 888 | 786 | $55K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 15% | 300 | 274 | $28K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 12% | 698 | 567 | $23K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.3% | 94 | 42 | $6K |
| 90836 | 1.3% | 53 | 48 | $3K |
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 officialHACK, CANDACE (PRESIDENT)