Pathways INC

Pathways INC was paid $82.16M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 17% of everything it billed.

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	139,757	$13.78M
2019	128,865	$11.53M
2020	132,499	$10.43M
2021	124,327	$10.29M
2022	267,301	$11.98M
2023	263,182	$12.71M
2024incomplete	237,268	$11.44M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	17%	126,194	80,521	$14.20M
T2023	Targeted case management; per month	14%	40,085	35,649	$11.66M
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	7.6%	23,189	4,737	$6.26M
90887		6.9%	48,579	30,657	$5.67M
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	6.8%	98,019	70,242	$5.62M
H0011	Alcohol and/or drug services; acute detoxification (residential addiction program inpatient)	6.3%	21,873	1,872	$5.18M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	5.8%	55,018	42,652	$4.75M
H0038	Self-help/peer services, per 15 minutes	3.8%	112,059	26,225	$3.09M
H2015	Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes	3.3%	46,700	14,439	$2.73M
T1040	Medicaid certified community behavioral health clinic services, per diem	3.2%	362,497	178,607	$2.60M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.0%	81,163	68,844	$2.44M
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	2.7%	19,117	18,142	$2.21M

43 more codes

H2011	Crisis intervention service, per 15 minutes	1.9%	11,905	$1.60M
H0032	Mental health service plan development by non-physician	1.9%	13,692	$1.53M
S9485	Crisis intervention mental health services, per diem	1.7%	4,623	$1.43M
H2021	Community-based wrap-around services, per 15 minutes	1.7%	9,046	$1.42M
90853	Group psychotherapy (other than of a multiple-family group)	1.6%	67,282	$1.35M
99214	Doctor's office visit, returning patient (more involved)	1.2%	21,475	$1.02M
90792	Psychiatric diagnostic evaluation with medical services	1.2%	8,262	$1.00M
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	20,143	$784K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education	<1%	6,910	$757K
H2020	Therapeutic behavioral services, per diem	<1%	4,420	$598K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	4,367	$515K
H2018	Psychosocial rehabilitation services, per diem	<1%	4,443	$508K
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	<1%	3,027	$480K
Q3014	Telehealth originating site facility fee	<1%	22,445	$420K
92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder	<1%	13,402	$386K
H2034	Alcohol and/or drug abuse halfway house services, per diem	<1%	2,517	$359K
H0040	Assertive community treatment program, per diem	<1%	456	$289K
H0001	Alcohol and/or drug assessment	<1%	2,374	$263K
92526		<1%	7,525	$236K
99354		<1%	4,949	$195K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	7,060	$169K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	<1%	1,198	$128K
90846	Family psychotherapy without the patient present, 50 minutes	<1%	1,013	$119K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	5,229	$42K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	2,934	$36K
H0019	Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	<1%	180	$29K
97533		<1%	2,333	$29K
90785		<1%	3,269	$25K
H0004	Behavioral health counseling and therapy, per 15 minutes	<1%	1,170	$17K
99355		<1%	74	$6K
H0031	Mental health assessment, by non-physician	<1%	42	$5K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	<1%	38	$5K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	168	$3K
99215	Doctor's office visit, returning patient (complex)	<1%	30	$2K
S9446	Patient education, not otherwise classified, non-physician provider, group, per session	<1%	304	$2K
92523		<1%	19	$2K
99204	Doctor's office visit, new patient (more involved)	<1%	12	$1K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	276	$1K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	17	$749.50
86328		<1%	31	$729.00
99203	Doctor's office visit, new patient (routine)	<1%	18	$693.03
H0024	Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude)	<1%	15	$645.60
36415	Collection of venous blood by venipuncture	<1%	13	$92.95

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 officialBOND, JILL (CFO)