Behavioral
Pathways to Life, INC
Pathways to Life, INC was paid $30.43M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is H2022, Community-based wrap-around services, per diem — 45% of everything it billed.
33Billing provider infoPATHWAYS TO LIFE, INC
GREENVILLE, NC 27858
GREENVILLE, NC 27858
33aNPI1982758215assigned 01/23/2007
33bProvider typeCounselor
28Total paid$30.43M
24GClaims139,654
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Counselor providers in North Carolina
Rank by total paid#6 of 123
Median peer was paid$318K
This provider vs. median96×
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 | 7,421 | $1.70M | |
| 2019 | 8,660 | $2.14M | |
| 2020 | 16,145 | $3.52M | |
| 2021 | 20,727 | $4.12M | |
| 2022 | 22,736 | $3.98M | |
| 2023 | 35,535 | $7.24M | |
| 2024incomplete | 28,430 | $7.73M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2022 | Community-based wrap-around services, per diem | 45% | 56,163 | 4,158 | $13.77M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 39% | 61,210 | 4,314 | $11.97M |
| H0040 | Assertive community treatment program, per diem | 7.6% | 5,774 | 1,761 | $2.31M |
| H2033 | Multisystemic therapy for juveniles, per 15 minutes | 3.2% | 2,970 | 351 | $962K |
| 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 | 1.1% | 4,279 | 3,717 | $344K |
| 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% | 2,106 | 255 | $273K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 3,091 | 1,340 | $246K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | <1% | 650 | 616 | $206K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 1,379 | 144 | $182K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 829 | 814 | $46K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 334 | 333 | $45K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 202 | 198 | $24K |
6 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 245 | $21K |
| 99205 | Prolong outpt/office vis | <1% | 85 | $13K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 125 | $7K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 85 | $5K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 115 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $1K |
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 officialCHAPPELL, ONTARIO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pathways to Life, INC. | Norfolk, VA | $482K |
| Pathways to Life, INC | Richmond, VA | $405K |
| Pathways to Life, INC | Greenville, NC | $173K |
| Pathways to Life, INC. | Suffolk, VA | $170K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.