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 North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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 Human Services Of North Carolina, LLC (NPI 1275145997)

Field	Value
Entity Type	Organization
Organization	Pathways Human Services Of North Carolina, LLC
Address	210 Penny Ln
City	Morehead City
State	NC
ZIP	28557
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	August 24, 2020

Payer Source	Total Paid
Medicaid	$10.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5145	Foster care, therapeutic, child; per diem	53,280	$180	$9.6M
H2022	Community-based wrap-around services, per diem	1,820	$240	$434.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,850	$80	$142.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	850	$70	$58.4K
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…	300	$50	$15.1K
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…	260	$30	$8.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	30	$70	$2.2K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Pathways Human Services Of North Carolina, LLC — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5145	Foster care, therapeutic, child; per diem	23	60	27,280	$160	$7.2M
H2022	Community-based wrap-around services, per diem	129	220	3,330	$290	$3.3M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	568	1,710	810	$80	$274.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	2,285	4,400	960	$60	$271.3K
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…	266	620	210	$50	$63.1K
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…	275	570	240	$20	$49K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	603	870	70	$90	$28.9K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pathways Human Services Of North Carolina, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Family Services	NC	Community/Behavioral Health Agency	$0	$15.3M
Pathways Human Services Of North Carolina, LLC	NC	Community/Behavioral Health Agency	$0	$10.3M

Nearby Providers

Other providers in the same ZIP code as Pathways Human Services Of North Carolina, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edwards Health Care Services, Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$35.2M
Maxim Healthcare Services, Inc.	NC	Home Health Agency	$0	$28.8M
Carteret Clinic For Adolescents And Children	NC	Pediatrics Physician	$0	$8.7M
Morehead City Treatment Center, LLC	NC	Community/Behavioral Health Agency	$121.4K	$3.9M
Friendly Medical Transportation LLC	NC	Land Ambulance	$825.8K	$2.9M
Center Of Morehead City, LLC	NC	Ambulatory Surgical Clinic/Center	$888.8K	$0
Town Of Morehead City	NC	Land Ambulance	$441.5K	$387.2K
Mary Lawrence	NC	Endocrinology, Diabetes & Metabolism Physician	$581.6K	$0
John Gould	NC	Cardiovascular Disease Physician	$529.4K	$0
Garlon Campbell	NC	Pain Medicine (Anesthesiology) Physician	$495.6K	$0

Pathways Human Services Of North Carolina, LLC — Billing Profile & Reimbursement Data

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Pathways Human Services Of North Carolina, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References