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

Why is the Medicaid comparison limited to Arkansas 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. Arkansas (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.

Pathfinder, Inc. (NPI 1629035043)

Field	Value
Entity Type	Organization
Organization	Pathfinder, Inc.
Address	2411 W Main St
City	Jacksonville
State	AR
ZIP	72076
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	April 28, 2006

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	23,170	$30	$625.6K
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…	3,300	$80	$250.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	1,410	$90	$119.8K
H2015	Comprehensive community support services, per 15 minutes	1,770	$60	$99.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	1,270	$80	$98.9K
90885	The provider reviews the medical records of the patient pertaining to psychiatric evaluation to help in establishing the diagnosis and treatment plan.	1,500	$50	$75.2K
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…	1,690	$30	$57.5K
S0220	Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present);…	1,070	$50	$53.3K
H2017	Psychosocial rehabilitation services, per 15 minutes	1,450	$20	$34.7K
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…	570	$60	$34.4K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arkansas Distribution

Pathfinder, Inc. — 0 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. Arkansas median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	126	430	760	$80	$675.9K
H2017	Psychosocial rehabilitation services, per 15 minutes	74	130	2,210	$40	$529K
H2015	Comprehensive community support services, per 15 minutes	77	150	1,770	$70	$390.2K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	17	180	1,430	$40	$263.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	61	140	1,180	$90	$238.7K
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…	480	1,520	550	$40	$128.7K
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…	105	230	480	$60	$94.8K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	37	170	300	$100	$94.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,424	1,740	550	$30	$88.8K
T2020	Day habilitation, waiver; per diem	111	110	740	$40	$82.1K

Showing 1–10 of 15

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pathfinder, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pathfinder, Inc.	AR	Developmentally Disabled Services Day Training Agency	$0	$69.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Families, Inc. Of Arkansas	AR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12.2M
Arcare	AR	Federally Qualified Health Center (FQHC)	$0	$2.5M
City Of Jacksonville	AR	Land Ambulance	$216.1K	$1.2M
Mark Peterson	AR	Family Medicine Physician	$394.8K	$25K
John Phillips	AR	Ophthalmology Physician	$327.8K	$370
Ryan Friedman	AR	Ophthalmology Physician	$319.3K	$4.1K
Aaron Roberds	AR	Family Medicine Physician	$250.6K	$12.8K
Richard Hayes	AR	Family Medicine Physician	$228.7K	$14.4K
John Wilkins	AR	Family Medicine Physician	$231.6K	$910
Harold Short	AR	Family Medicine Physician	$188.4K	$5.1K

Pathfinder, Inc. — Billing Profile & Reimbursement Data

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Pathfinder, Inc. — 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