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PATHWAYS HUMAN SERVICES OF PENNSYLVANIA, LLC

Public Health or Welfare·GREENSBURG, PA·NPI: 1043822208Share

Compared to Public Health or Welfare Peers

Total spending distribution among 17 providers in this specialty

P25MedianP75P90

This provider's total spending of $47.9M is at the 25th percentile among 17 Public Health or Welfare providers.

Active Billing Period:2020-102024-12(51 months)

Total Paid

$47.9M

$47,887,065

Total Claims

443K

Beneficiaries

209K

2.1 claims/patient

Avg Cost/Claim

$108

Monthly Spending Trend

Yearly Spending

2020
$2.4M
+336%
2021
$10.6M
+17%
2022
$12.5M
-4%
2023
$11.9M
-13%
2024
$10.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 25% of total spending.

90834Top 25%

Psychotherapy, 45 minutes

$12.2M

140K claims · 25.4%

Your Cost: $86.78/claim|Median: $63.65
1.4× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$11.2M

75K claims · 23.4%

Your Cost: $149.70/claim|Median: $167.38
0.9× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$8.3M

54K claims · 17.2%

Your Cost: $153.51/claim|Median: $146.45
1.0× median
90837Top 25%

Psychotherapy, 60 minutes

$3.7M

31K claims · 7.8%

Your Cost: $118.83/claim|Median: $85.66
1.4× median
97151Normal range

Behavior identification assessment

$2.2M

18K claims · 4.5%

Your Cost: $117.57/claim|Median: $161.10
0.7× median
90832Normal range

Psychotherapy, 30 minutes

$2.0M

42K claims · 4.1%

Your Cost: $46.80/claim|Median: $41.28
1.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$1.2M

7,920 claims · 2.6%

Your Cost: $156.55/claim|Median: $108.91
1.4× median
H0034Normal range

Medication training and management, per 15 min

$1.1M

11K claims · 2.3%

Your Cost: $103.73/claim|Median: $56.90
1.8× median
99211Top 5%

Office/outpatient visit, minimal complexity

$976K

9,858 claims · 2.0%

Your Cost: $98.99/claim|Median: $12.93
7.7× median
H0032Normal range

Mental health service plan development

$903K

7,779 claims · 1.9%

Your Cost: $116.02/claim|Median: $80.64
1.4× median
H2021Normal range

Community-based wrap-around services, per 15 min

$753K

9,064 claims · 1.6%

Your Cost: $83.07/claim|Median: $169.11
0.5× median
99214Top 5%

Office/outpatient visit, est. patient, mod-high complexity

$666K

4,732 claims · 1.4%

Your Cost: $140.80/claim|Median: $53.41
2.6× median
99213Top 5%

Office/outpatient visit, est. patient, low-mod complexity

$547K

6,077 claims · 1.1%

Your Cost: $90.07/claim|Median: $37.81
2.4× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$539K

5,573 claims · 1.1%

Your Cost: $96.66/claim|Median: $27.38
3.5× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$514K

5,450 claims · 1.1%

Your Cost: $94.38/claim|Median: $84.12
1.1× median
99241Top 25%

Office consultation, straightforward

$502K

5,965 claims · 1.0%

Your Cost: $84.20/claim|Median: $36.49
2.3× median
H0046Normal range

Mental health services, not otherwise specified

$401K

5,437 claims · 0.8%

Your Cost: $73.71/claim|Median: $85.02
0.9× median
97156Normal range

$114K

1,213 claims · 0.2%

Your Cost: $93.73/claim|Median: $88.65
1.1× median
90847Normal range

Family psychotherapy with patient, 50 min

$43K

660 claims · 0.1%

Your Cost: $65.29/claim|Median: $77.33
0.8× median
H0031Normal range

Mental health assessment by non-physician

$31K

1,322 claims · 0.1%

Your Cost: $23.16/claim|Median: $96.18
0.2× median
97154Normal range

Group adaptive behavior treatment, per 15 min

$28K

512 claims · 0.1%

Your Cost: $54.87/claim|Median: $55.95
1.0× median
90791Top 10%

Psychiatric diagnostic evaluation

$9K

51 claims · 0.0%

Your Cost: $180.80/claim|Median: $99.21
1.8× median
H2014Normal range

Skills training & development, per 15 min

$278

18 claims · 0.0%

Your Cost: $15.45/claim|Median: $83.88
0.2× median