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PATHWAYS INC

Clinic/Center, Mental Health (Including Community Mental Health Center)·ASHLAND, KY·NPI: 1982615043Share

Compared to Clinic/Center, Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $82.2M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

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

Total Paid

$82.2M

$82,159,448

Total Claims

1.3M

Beneficiaries

700K

1.8 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$13.8M
-16%
2019
$11.5M
-10%
2020
$10.4M
-1%
2021
$10.3M
+16%
2022
$12.0M
+6%
2023
$12.7M
-10%
2024
$11.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 17% of total spending.

90837Top 25%

Psychotherapy, 60 minutes

$14.2M

126K claims · 17.3%

Your Cost: $112.54/claim|Median: $85.66
1.3× median
T2023Normal range

Community transition, waiver; per service

$11.7M

40K claims · 14.2%

Your Cost: $290.88/claim|Median: $300.13
1.0× median
H2019Top 10%

Therapeutic behavioral services, per 15 min

$6.3M

23K claims · 7.6%

Your Cost: $270.15/claim|Median: $84.12
3.2× median
90887Top 10%

Interpretation/explanation of results

$5.7M

49K claims · 6.9%

Your Cost: $116.69/claim|Median: $47.55
2.5× median
90832Top 25%

Psychotherapy, 30 minutes

$5.6M

98K claims · 6.8%

Your Cost: $57.33/claim|Median: $41.28
1.4× median
H0011Normal range

Alcohol and/or drug services, acute detoxification, per diem

$5.2M

22K claims · 6.3%

Your Cost: $237.03/claim|Median: $317.54
0.7× median
90834Top 25%

Psychotherapy, 45 minutes

$4.7M

55K claims · 5.8%

Your Cost: $86.26/claim|Median: $63.65
1.4× median
H0038Normal range

Self-help/peer services, per 15 minutes

$3.1M

112K claims · 3.8%

Your Cost: $27.61/claim|Median: $55.04
0.5× median
H2015Normal range

Comprehensive community support services, per 15 min

$2.7M

47K claims · 3.3%

Your Cost: $58.52/claim|Median: $96.24
0.6× median
T1040Normal range

Medicaid certified CCBHC services

$2.6M

362K claims · 3.2%

Your Cost: $7.16/claim|Median: $130.29
0.1× median
99213Normal range

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

$2.4M

81K claims · 3.0%

Your Cost: $30.00/claim|Median: $37.81
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$2.2M

19K claims · 2.7%

Your Cost: $115.39/claim|Median: $99.21
1.2× median
H2011Normal range

Crisis intervention service, per 15 minutes

$1.6M

12K claims · 1.9%

Your Cost: $134.34/claim|Median: $215.80
0.6× median
H0032Normal range

Mental health service plan development

$1.5M

14K claims · 1.9%

Your Cost: $111.41/claim|Median: $80.64
1.4× median
S9485Normal range

Crisis intervention mental health services, per diem

$1.4M

4,623 claims · 1.7%

Your Cost: $308.55/claim|Median: $501.33
0.6× median
H2021Normal range

Community-based wrap-around services, per 15 min

$1.4M

9,046 claims · 1.7%

Your Cost: $156.98/claim|Median: $169.11
0.9× median
90853Normal range

Group psychotherapy

$1.3M

67K claims · 1.6%

Your Cost: $20.00/claim|Median: $25.02
0.8× median
99214Normal range

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

$1.0M

21K claims · 1.2%

Your Cost: $47.42/claim|Median: $53.41
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$1.0M

8,262 claims · 1.2%

Your Cost: $121.10/claim|Median: $108.91
1.1× median
97530Normal range

Therapeutic activities, each 15 min

$784K

20K claims · 1.0%

Your Cost: $38.93/claim|Median: $33.11
1.2× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$757K

6,910 claims · 0.9%

Your Cost: $109.49/claim|Median: $129.75
0.8× median
H2020Normal range

Day habilitation, waiver, per 15 minutes

$598K

4,420 claims · 0.7%

Your Cost: $135.28/claim|Median: $144.05
0.9× median
90847Top 25%

Family psychotherapy with patient, 50 min

$515K

4,367 claims · 0.6%

Your Cost: $117.97/claim|Median: $77.33
1.5× median
H2018Normal range

Psychosocial rehabilitation services, per diem

$508K

4,443 claims · 0.6%

Your Cost: $114.24/claim|Median: $392.63
0.3× median
H0018Normal range

Behavioral health; short-term residential, per diem

$480K

3,027 claims · 0.6%

Your Cost: $158.48/claim|Median: $467.51
0.3× median
Q3014Normal range

Telehealth originating site facility fee

$420K

22K claims · 0.5%

Your Cost: $18.73/claim|Median: $15.37
1.2× median
92507Normal range

Speech/hearing/language treatment

$386K

13K claims · 0.5%

Your Cost: $28.83/claim|Median: $49.45
0.6× median
H2034Normal range

Alcohol and/or drug abuse halfway house services, per hour

$359K

2,517 claims · 0.4%

Your Cost: $142.44/claim|Median: $164.03
0.9× median
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$289K

456 claims · 0.4%

Your Cost: $633.22/claim|Median: $266.41
2.4× median
H0001Normal range

Alcohol and/or drug assessment

$263K

2,374 claims · 0.3%

Your Cost: $110.96/claim|Median: $94.22
1.2× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$236K

7,525 claims · 0.3%

Your Cost: $31.40/claim|Median: $49.74
0.6× median
99354Normal range

$195K

4,949 claims · 0.2%

Your Cost: $39.33/claim|Median: $54.96
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$169K

7,060 claims · 0.2%

Your Cost: $23.99/claim|Median: $25.06
1.0× median
T1007Normal range

Alcohol/drug services, treatment plan review

$128K

1,198 claims · 0.2%

Your Cost: $106.65/claim|Median: $64.10
1.7× median
90846Top 25%

Family psychotherapy without patient, 50 min

$119K

1,013 claims · 0.1%

Your Cost: $117.87/claim|Median: $76.61
1.5× median
G2012Normal range

Brief communication technology-based service

$42K

5,229 claims · 0.1%

Your Cost: $7.95/claim|Median: $8.79
0.9× median
99211Normal range

Office/outpatient visit, minimal complexity

$36K

2,934 claims · 0.0%

Your Cost: $12.18/claim|Median: $12.93
0.9× median
H0019Normal range

Behavioral health; residential, per diem

$29K

180 claims · 0.0%

Your Cost: $163.56/claim|Median: $357.16
0.5× median
97533Normal range

$29K

2,333 claims · 0.0%

Your Cost: $12.40/claim|Median: $48.71
0.3× median
90785Normal range

$25K

3,269 claims · 0.0%

Your Cost: $7.69/claim|Median: $6.43
1.2× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$17K

1,170 claims · 0.0%

Your Cost: $14.70/claim|Median: $74.63
0.2× median
99355Normal range

$6K

74 claims · 0.0%

Your Cost: $77.50/claim|Median: $55.81
1.4× median
H0031Normal range

Mental health assessment by non-physician

$5K

42 claims · 0.0%

Your Cost: $126.57/claim|Median: $96.18
1.3× median
H0002Top 25%

Behavioral health screening

$5K

38 claims · 0.0%

Your Cost: $129.41/claim|Median: $38.77
3.3× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$3K

168 claims · 0.0%

Your Cost: $17.97/claim|Median: $30.04
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$2K

30 claims · 0.0%

Your Cost: $67.78/claim|Median: $74.09
0.9× median
S9446Normal range

$2K

304 claims · 0.0%

Your Cost: $6.64/claim|Median: $13.66
0.5× median
92523Normal range

Evaluation of speech sound production with language comprehension

$2K

19 claims · 0.0%

Your Cost: $88.21/claim|Median: $110.87
0.8× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$1K

12 claims · 0.0%

Your Cost: $99.13/claim|Median: $84.03
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$1K

276 claims · 0.0%

Your Cost: $4.22/claim|Median: $9.56
0.4× median

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Similar Providers

Other top providers in Clinic/Center, Mental Health (Including Community Mental Health Center)

Los Angeles County Department of Mental Health

Los Angeles, CA

$6.78B

County of Sonoma

Santa Rosa, CA

$195.1M

County of Washtenaw

Ypsilanti, MI

$153.3M

County of Muskegon

Muskegon, MI

$151.1M

Fraser Child and Family Center

Minneapolis, MN

$149.8M

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