Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

PATHWAYS TO HOUSING PA, INC.

Case Management·PHILADELPHIA, PA·NPI: 1982962353Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $26.4M is at the below 25th percentile among 137 Case Management providers.

Active Billing Period:2020-092024-12(52 months)

Total Paid

$26.4M

$26,402,701

Total Claims

136K

Beneficiaries

33K

4.2 claims/patient

Avg Cost/Claim

$194

Monthly Spending Trend

Yearly Spending

2020
$392K
+465%
2021
$2.2M
+169%
2022
$6.0M
+56%
2023
$9.3M
-8%
2024
$8.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (H0039 (Assertive community treatment, per diem)) accounts for 69% of total spending.

H0039Top 25%

Assertive community treatment, per diem

$18.2M

66K claims · 69.0%

Your Cost: $275.92/claim|Median: $132.62
2.1× median
H0022Top 5%

$5.4M

49K claims · 20.4%

Your Cost: $110.65/claim|Median: $32.48
3.4× median
G9012Top 25%

Other specified case management service, per 15 minutes

$1.4M

5,214 claims · 5.5%

Your Cost: $277.11/claim|Median: $137.85
2.0× median
T1017Normal range

Targeted case management, per 15 min

$1.3M

16K claims · 5.1%

Your Cost: $81.41/claim|Median: $69.56
1.2× median