Pathway House, INC

Pathway House, INC was paid $3.55M by Medicaid between Jan 2018 and Oct 2024, across 1 billing code. Its largest line is H2036, Alcohol and/or other drug treatment program, per diem — 100% of everything it billed.

33Billing provider infoPATHWAY HOUSE, INC
ROCHESTER, MN 55902

33aNPI1992803316assigned 09/20/2006

33bProvider typeSubstance Abuse Rehabilitation Facility

28Total paid$3.55M

24GClaims5,991

24DCodes billed1

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Substance Abuse Rehabilitation Facility providers in Minnesota

Rank by total paid#52 of 106

Median peer was paid$3.45M

This provider vs. median1.0×

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.

Single-Code Concentration100% of spending on code H2036 with only 1 total codes billed. Highly concentrated billing profile.

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	937	$218K
2019	954	$493K
2020	838	$411K
2021	1,020	$571K
2022	919	$702K
2023	754	$658K
2024incomplete	569	$496K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2036	Alcohol and/or other drug treatment program, per diem	100%	5,991	1,992	$3.55M

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 officialPOWERS, GERALD (EXECUTIVE DIRECTOR)

Same official

Other billing entities under POWERS, GERALD

Full network →

Provider	Location	Paid
Pathway House Women's Program, INC	Rochester, MN	$1.31M

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