Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Idaho for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Idaho only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Idaho (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Pathways, Inc (NPI 1013064351)

Field	Value
Entity Type	Organization
Organization	Pathways, Inc
Address	2311 Park Ave
City	Burley
State	ID
ZIP	83318
Taxonomy	Marriage & Family Therapist
NPI Enumerated	January 5, 2007

Payer Source	Total Paid
Medicaid	$537K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0038	Self‑help/peer services, per 15 minutes	1,740	$120	$215.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	3,110	$60	$192.6K
T1017	Targeted case management, each 15 minutes	970	$50	$43.6K
H2017	Psychosocial rehabilitation services, per 15 minutes	350	$120	$42.2K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	290	$80	$22.6K
T1016	Case management, each 15 minutes	200	$50	$9.5K
H0032	Mental health service plan development by non-physician	140	$50	$6.5K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	60	$40	$2.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10	$90	$1.2K
H0031	Mental health assessment, by non-physician	10	$90	$1.1K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.

Claims Volume vs. Idaho Distribution

Pathways, Inc — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	115	140	2,000	$110	$633.3K
H0038	Self‑help/peer services, per 15 minutes	57	110	1,730	$90	$436.4K
T1017	Targeted case management, each 15 minutes	99	190	1,060	$60	$221.8K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	109	410	740	$60	$174.3K
T1016	Case management, each 15 minutes	51	60	420	$70	$76.2K
H0032	Mental health service plan development by non-physician	56	110	150	$70	$37.3K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	26	80	100	$80	$26.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	189	220	60	$100	$25.5K
H0031	Mental health assessment, by non-physician	131	140	70	$90	$20.2K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	107	140	190	$30	$14.2K

Nearby Providers

Other providers in the same ZIP code as Pathways, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Health Services Corporation	ID	Federally Qualified Health Center (FQHC)	$0	$10.5M
Ihc Health Services, Inc.	ID	General Acute Care Hospital	$0	$5.1M
A Plus Solutions Center	ID	Developmentally Disabled Services Day Training Agency	$0	$4.6M
Smiles 4 Kids Burley	ID	Pediatric Dentistry	$0	$3.4M
Ihc Health Services Inc	ID	Obstetrics & Gynecology Physician	$0	$1.7M
Burley Kids Dental, LLC	ID	Pediatric Dentistry	$0	$1.4M
Anthony J Anderson Md & Assoc LLC	ID	Family Medicine Physician	$0	$1.2M
R Bret Campbell Do & Assoc LLC	ID	Family Medicine Physician	$0	$1.1M
Ambulatory Surgery Center Of Burley, LLC	ID	Ambulatory Surgical Clinic/Center	$504.8K	$560.6K
Burley Physical Therapy And Rehabilitation	ID	Physical Therapy Clinic/Center	$0	$1.1M

Pathways, Inc — Billing Profile & Reimbursement Data

Sign up for Pathways, Inc — Billing Profile & Reimbursement Data policy alerts

Pathways, Inc — Billing Profile & Reimbursement Data

Sign up for Pathways, Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References