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PATHWAYS OF TENNESSEE, INC.

Clinic/Center·JACKSON, TN·NPI: 1497721609Share

Compared to Clinic/Center Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $30.5M is at the 50th percentile among 13 Clinic/Center providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$30.5M

$30,543,811

Total Claims

675K

Beneficiaries

468K

1.4 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$4.6M
-31%
2019
$3.1M
+15%
2020
$3.6M
+11%
2021
$4.0M
+28%
2022
$5.1M
+12%
2023
$5.7M
-23%
2024
$4.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 43 distinct procedure codes. The top code (S0280 (Medical home program, comprehensive care management)) accounts for 54% of total spending.

S0280Normal range

Medical home program, comprehensive care management

$16.6M

136K claims · 54.2%

Your Cost: $121.53/claim|Median: $48.38
2.5× median
90837Normal range

Psychotherapy, 60 minutes

$4.2M

60K claims · 13.7%

Your Cost: $69.77/claim|Median: $85.66
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$2.4M

50K claims · 7.8%

Your Cost: $48.00/claim|Median: $63.65
0.8× median
99213Normal range

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

$1.8M

52K claims · 5.9%

Your Cost: $34.16/claim|Median: $37.81
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$1.5M

18K claims · 5.1%

Your Cost: $86.40/claim|Median: $99.21
0.9× median
99214Normal range

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

$1.5M

35K claims · 5.0%

Your Cost: $44.22/claim|Median: $53.41
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$579K

7,498 claims · 1.9%

Your Cost: $77.27/claim|Median: $108.91
0.7× median
90832Normal range

Psychotherapy, 30 minutes

$512K

15K claims · 1.7%

Your Cost: $34.95/claim|Median: $41.28
0.8× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$477K

4,853 claims · 1.6%

Your Cost: $98.25/claim|Median: $91.63
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$215K

5,176 claims · 0.7%

Your Cost: $41.60/claim|Median: $74.09
0.6× median
H0038Normal range

Self-help/peer services, per 15 minutes

$178K

3,656 claims · 0.6%

Your Cost: $48.62/claim|Median: $55.04
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$168K

5,136 claims · 0.6%

Your Cost: $32.76/claim|Median: $25.06
1.3× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$79K

2,577 claims · 0.3%

Your Cost: $30.62/claim|Median: $23.99
1.3× median
H0033Normal range

Oral medication administration, direct observation

$61K

528 claims · 0.2%

Your Cost: $115.81/claim|Median: $31.37
3.7× median
99222Normal range

Initial hospital care, per day, moderate complexity

$44K

838 claims · 0.1%

Your Cost: $52.35/claim|Median: $51.25
1.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$43K

486 claims · 0.1%

Your Cost: $88.72/claim|Median: $77.33
1.1× median
99223Top 25%

Initial hospital care, per day, high complexity

$42K

415 claims · 0.1%

Your Cost: $101.42/claim|Median: $67.32
1.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$38K

1,002 claims · 0.1%

Your Cost: $38.26/claim|Median: $37.22
1.0× median
90853Normal range

Group psychotherapy

$37K

1,269 claims · 0.1%

Your Cost: $29.17/claim|Median: $25.02
1.2× median
99231Normal range

Subsequent hospital care, per day, low complexity

$29K

1,337 claims · 0.1%

Your Cost: $21.70/claim|Median: $16.77
1.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$19K

8,155 claims · 0.1%

Your Cost: $2.37/claim|Median: $9.56
0.2× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$11K

1,486 claims · 0.0%

Your Cost: $7.09/claim|Median: $22.44
0.3× median
H0049Normal range

$5K

1,086 claims · 0.0%

Your Cost: $4.73/claim|Median: $9.27
0.5× median
H0034Normal range

Medication training and management, per 15 min

$4K

344 claims · 0.0%

Your Cost: $12.65/claim|Median: $56.90
0.2× median
99211Top 25%

Office/outpatient visit, minimal complexity

$2K

65 claims · 0.0%

Your Cost: $30.16/claim|Median: $12.93
2.3× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$1K

37 claims · 0.0%

Your Cost: $37.71/claim|Median: $43.85
0.9× median
90836Normal range

Psychotherapy, 45 min, add-on to E/M

$1K

43 claims · 0.0%

Your Cost: $30.72/claim|Median: $56.18
0.5× median
3008FNormal range

$1K

9,490 claims · 0.0%

Your Cost: $0.13/claim|Median: $0.06
2.2× median
36415Normal range

Collection of venous blood by venipuncture

$863

456 claims · 0.0%

Your Cost: $1.89/claim|Median: $1.57
1.2× median
90846Normal range

Family psychotherapy without patient, 50 min

$689

12 claims · 0.0%

Your Cost: $57.45/claim|Median: $76.61
0.7× median
99221Normal range

Initial hospital care, straightforward/low

$180

13 claims · 0.0%

Your Cost: $13.84/claim|Median: $39.96
0.3× median
G9010Normal range

$177

64K claims · 0.0%

Your Cost: $0.00/claim|Median: $1,009.60
0.0× median
G9005Normal range

Coordinated care fee, risk-adjusted, ESRD

$0

79K claims · 0.0%

Your Cost: $0.00/claim|Median: $47.08
0.0× median
G9007Normal range

$0

28K claims · 0.0%

Your Cost: $0.00/claim|Median: $43.44
0.0× median
G9004Normal range

$0

37K claims · 0.0%

Your Cost: $0.00/claim|Median: $55.49
0.0× median
G9006Normal range

Coordination of long-term care services, per hour

$0

18K claims · 0.0%

Your Cost: $0.00/claim|Median: $204.93
0.0× median
3078FNormal range

$0

1,936 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
3079FNormal range

$0

206 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
80305Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.44
G9011Normal range

$0

14K claims · 0.0%

Your Cost: $0.00/claim|Median: $39.92
3075FNormal range

$0

246 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.15
3074FNormal range

$0

1,770 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.11
S9485Normal range

Crisis intervention mental health services, per diem

$0

9,089 claims · 0.0%

Your Cost: $0.00/claim|Median: $501.33

Other Top Providers in Tennessee

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Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$2.60B

Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$1.45B

Tennessee Department of Children's Services

Public Health or Welfare

$781.0M

Youth Villages Inc.

Community/Behavioral Health

$615.3M

Mental Health Cooperative INC

Clinic/Center Mental Health (Including Community

$363.8M

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$330.8M

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Santa Cruz, CA

$276.3M

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$217.1M

Upmc Presbyterian Shadyside

Pittsburgh, PA

$125.5M

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