Clinic
Pathways Nursing Practitioners, INC.
Pathways Nursing Practitioners, INC. was paid $6.87M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 85% of everything it billed.
33Billing provider infoPATHWAYS NURSING PRACTITIONERS, INC.
OAKDALE, CA 95361
OAKDALE, CA 95361
33aNPI1982797239assigned 10/01/2006
33bProvider typeRural Health Clinic/Center
28Total paid$6.87M
24GClaims156,341
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#70 of 215
Median peer was paid$3.62M
This provider vs. median1.9×
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 | 13,934 | $933K | |
| 2019 | 15,240 | $709K | |
| 2020 | 21,397 | $902K | |
| 2021 | 21,919 | $889K | |
| 2022 | 19,456 | $743K | |
| 2023 | 29,950 | $1.22M | |
| 2024incomplete | 34,445 | $1.48M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 85% | 56,317 | 38,725 | $5.86M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 89,565 | 42,394 | $904K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 596 | 338 | $33K |
| 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% | 2,010 | 1,185 | $32K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 897 | 611 | $24K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 535 | 293 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 293 | 270 | $4K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 94 | 78 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 56 | 27 | $534.69 |
| 99072 | <1% | 5,601 | 4,721 | $474.72 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 12 | 12 | $186.58 |
| 81025 | <1% | 65 | 65 | $109.20 |
11 more codes
| 81002 | <1% | 56 | $109.02 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 13 | $108.20 |
| 90674 | <1% | 15 | $100.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 14 | $90.09 |
| 99000 | <1% | 32 | $35.91 | |
| 87481 | <1% | 46 | $0.12 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 0% | 12 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 14 | $0.00 |
| 99499 | 0% | 48 | $0.00 | |
| 82962 | 0% | 37 | $0.00 | |
| 3074F | 0% | 13 | $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 officialSTONER, MARC (EXECUTIVE DIRECTOR/OWNER)