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Pathway Healthcare Inc

Clinic/Center·Baltimore, MD·NPI: 1689459877SharePrint ReportML Risk: 83%

Compared to Clinic/Center Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $192K is at the below 25th percentile among 13 Clinic/Center providers.

Total Paid

$192K

$191,887

Total Claims

1,928

Beneficiaries

396

4.9 claims/patient

Avg Cost/Claim

$100

🔍 Analysis

Provider Overview

Pathway Healthcare Inc is a Clinic/Center provider based in Baltimore, MD. From the 2018–2024 period, this provider received $192K in Medicaid payments across 2K claims serving 396 beneficiaries.

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 3 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 66% of total spending.

90834Top 5%

Psychotherapy, 45 minutes

$126K

899 claims · 65.7%

Your Cost: $140.25/claim|Median: $63.65
2.2× median
90853Top 25%

Group psychotherapy

$61K

1,010 claims · 31.7%

Your Cost: $60.22/claim|Median: $25.02
2.4× median
90791Top 5%

Psychiatric diagnostic evaluation

$5K

19 claims · 2.6%

Your Cost: $262.07/claim|Median: $99.21
2.6× median