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PATHWAYS OF MAINE, LLC

Community/Behavioral Health·BRUNSWICK, ME·NPI: 1174851042Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $22.3M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$22.3M

$22,287,275

Total Claims

99K

Beneficiaries

14K

7.2 claims/patient

Avg Cost/Claim

$225

Monthly Spending Trend

Yearly Spending

2018
$3.2M
-13%
2019
$2.7M
-9%
2020
$2.5M
+92%
2021
$4.8M
-25%
2022
$3.6M
-30%
2023
$2.5M
+27%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (H2021 (Community-based wrap-around services, per 15 min)) accounts for 85% of total spending.

H2021Normal range

Community-based wrap-around services, per 15 min

$18.9M

67K claims · 84.7%

Your Cost: $280.04/claim|Median: $169.11
1.7× median
T1017Normal range

Targeted case management, per 15 min

$1.5M

18K claims · 6.7%

Your Cost: $82.88/claim|Median: $69.56
1.2× median
H2012Top 25%

Behavioral health day treatment, per hour

$1.3M

5,336 claims · 5.6%

Your Cost: $235.60/claim|Median: $137.86
1.7× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$376K

5,100 claims · 1.7%

Your Cost: $73.82/claim|Median: $74.63
1.0× median
H2015Normal range

Comprehensive community support services, per 15 min

$195K

1,770 claims · 0.9%

Your Cost: $110.41/claim|Median: $96.24
1.1× median
G9007Normal range

$68K

1,064 claims · 0.3%

Your Cost: $63.98/claim|Median: $43.44
1.5× median
92507Normal range

Speech/hearing/language treatment

$21K

474 claims · 0.1%

Your Cost: $44.53/claim|Median: $49.45
0.9× median