Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Charlotte › NPI 1992317606
Behavioral

Pathways Human Services of North Carolina, LLC

Pathways Human Services of North Carolina, LLC was paid $1.91M by Medicaid between Oct 2020 and May 2023, across 5 billing codes. Its largest line is S5145, Foster care, therapeutic, child; per diem — 93% of everything it billed.

33Billing provider infoPATHWAYS HUMAN SERVICES OF NORTH CAROLINA, LLC
CHARLOTTE, NC 28227
33aNPI1992317606assigned 08/24/2020
33bProvider typePsychologist
28Total paid$1.91M
24GClaims11,236
24DCodes billed5
24AFirst – last monthOct 2020 – May 2023
Compared with peers

Next to other Psychologist providers in North Carolina

Rank by total paid#13 of 96
Median peer was paid$141K
This provider vs. median14×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official HEDDEN, MELISSA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20201,443$227K
20215,042$715K
20222,950$597K
20231,801$376K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S5145 Foster care, therapeutic, child; per diem 93% 9,679 335 $1.78M
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 5.3% 1,325 337 $102K
H2022 Community-based wrap-around services, per diem 1.0% 67 13 $19K
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% 151 137 $13K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 14 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 officialHEDDEN, MELISSA (CONTRACT MANAGER)
Same official

Other billing entities under HEDDEN, MELISSA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.