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

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

Pathway Caring For Children (NPI 1720345556)

Field	Value
Entity Type	Organization
Organization	Pathway Caring For Children
Address	4895 Dressler Rd Nw
City	Canton
State	OH
ZIP	44718
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 18, 2012

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	60,250	$60	$3.7M
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…	36,280	$90	$3.2M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	31,910	$40	$1.4M
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…	7,890	$60	$497.1K
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…	4,750	$50	$228.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,420	$90	$130.6K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	11,660	$10	$116.6K
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…	2,330	$20	$51.3K
H2020	Therapeutic behavioral services, per diem	470	$70	$33.8K
H2000	Comprehensive multidisciplinary evaluation	30	$160	$4.3K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

Pathway Caring For Children — 1 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	68	840	240	$90	$1.8M
H2020	Therapeutic behavioral services, per diem	177	310	1,190	$150	$1.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	74	740	480	$60	$669.5K
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…	78	2,640	620	$90	$408.2K
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	1,320	290	$50	$148.6K
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…	207	1,320	450	$40	$139.1K
H2012	Behavioral health day treatment, per hour	72	120	310	$40	$97.3K
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…	104	490	390	$30	$84.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	148	1,260	130	$110	$84.7K
H2000	Comprehensive multidisciplinary evaluation	35	40	140	$150	$49.2K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Pathway Caring For Children, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeast Professional Home, Inc.	OH	Home Health Agency	$0	$25.2M
Northeast Professional Home Care, Inc.	OH	Home Health Agency	$0	$18.5M
Child And Adolescent Behavioral Health	OH	Community/Behavioral Health Agency	$0	$15.8M
Stark Ambulatory Surgery Center, LLC	OH	Ambulatory Surgical Clinic/Center	$377.2K	$3.5M
Arnold Nothnagel	OH	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Eyes On Stark Surgery Center, LLC	OH	Ambulatory Surgical Clinic/Center	$1.1M	$847.1K
Robert Wenz	OH	Retina Specialist (Ophthalmology) Physician	$1.5M	$1.3K
Stephen Conti	OH	Retina Specialist (Ophthalmology) Physician	$1.5M	$10K
Sophia Pachydaki	OH	Retina Specialist (Ophthalmology) Physician	$1.4M	$6.3K
Mark Gersman	OH	Retina Specialist (Ophthalmology) Physician	$1.4M	$1.8K

Pathway Caring For Children — Billing Profile & Reimbursement Data

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Pathway Caring For Children — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References