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

Why is the Medicaid comparison limited to Georgia 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. Georgia (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 Center For Behavioral And Developmental Growth (NPI 1427225655)

Field	Value
Entity Type	Organization
Organization	Pathways Center For Behavioral And Developmental Growth
Address	1710 Highway 16 W
City	Griffin
State	GA
ZIP	30223
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 16, 2008

Payer Source	Total Paid
Medicaid	$285.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,840	$90	$171.1K
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…	740	$60	$46K
H0031	Mental health assessment, by non-physician	240	$130	$32.1K
T1001	Nursing assessment / evaluation	1,160	$30	$28.9K
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…	110	$70	$7.2K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Pathways Center For Behavioral And Developmental Growth — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	334	820	390	$70	$245K
H0031	Mental health assessment, by non-physician	33	80	80	$110	$233.6K
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…	186	880	410	$90	$148.7K
T1001	Nursing assessment / evaluation	12	30	490	$50	$118.3K
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…	187	290	240	$70	$69.3K

Nearby Providers

Other providers in the same ZIP code as Pathways Center For Behavioral And Developmental Growth, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shannon Eller	GA	Marriage & Family Therapist	$0	$2.3M
Amanda Oglesbee	GA	Professional Counselor	$0	$330.2K
Kristin Gore	GA	Family Medicine Physician	$319.9K	$0
Trenisha Jones Mccall	GA	Professional Counselor	$0	$142.5K

Pathways Center For Behavioral And Developmental Growth — Billing Profile & Reimbursement Data

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Pathways Center For Behavioral And Developmental Growth — Billing Profile & Reimbursement Data

Sign up for Pathways Center For Behavioral And Developmental Growth — 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