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

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

Positive Pathways, LLC (NPI 1801335492)

Field	Value
Entity Type	Organization
Organization	Positive Pathways, LLC
Address	1905 Mission 66
City	Vicksburg
State	MS
ZIP	39180
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	February 16, 2017

Payer Source	Total Paid
Medicaid	$11.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 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…	56,820	$110	$6M
H2015	Comprehensive community support services, per 15 minutes	39,530	$60	$2.3M
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	11,390	$80	$922.6K
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.	7,270	$80	$567K
H0038	Self‑help/peer services, per 15 minutes	16,050	$30	$481.6K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	6,280	$60	$345.6K
T1017	Targeted case management, each 15 minutes	5,860	$50	$275.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,210	$120	$263.1K
H2012	Behavioral health day treatment, per hour	3,280	$80	$246.1K
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…	3,540	$60	$209K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

Positive Pathways, LLC — 2 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2012	Behavioral health day treatment, per hour	16	30	3,380	$90	$4.3M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	20	30	19,670	$60	$2.3M
H2015	Comprehensive community support services, per 15 minutes	12	30	5,320	$60	$2.2M
T1017	Targeted case management, each 15 minutes	14	40	2,060	$60	$996.6K
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…	9	280	600	$100	$681.9K
H0031	Mental health assessment, by non-physician	30	30	1,670	$90	$526.3K
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.	11	50	400	$80	$506.1K
T1002	Rn services, up to 15 minutes	16	30	3,310	$30	$446.6K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	8	80	300	$80	$337.4K
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…	511	1,910	930	$60	$278.7K

Showing 1–10 of 22

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Warren Yazoo Mental Health Service	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$21.1M
Mdb Behavioral Health Services LLC	MS	Rural Health Clinic/Center	$0	$11.7M
Always Home, LLC	MS	In Home Supportive Care Agency	$0	$7.7M
Caring Hands Ppec Of Vicksburg	MS	Medically Fragile Infants and Children Day Care	$0	$7.4M
Medical Associates Of Vicksburg PLLC	MS	Internal Medicine Physician	$0	$4.3M
Vicksburg City Office Of The City Clerk	MS	Land Ambulance	$613.8K	$2.5M
Washington Home Health Agency, LLC	MS	In Home Supportive Care Agency	$0	$3M
Warren-yazoo Mental Health Service, Inc.	MS	Community/Behavioral Health Agency	$0	$2.9M
Elite Performance And Rehab, LLC	MS	Physical Therapy Clinic/Center	$0	$2.6M
William Ashley	MS	Optometrist	$117.1K	$391.5K

Positive Pathways, LLC — Billing Profile & Reimbursement Data

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Positive Pathways, 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

Nearby Providers

Frequently Asked Questions

References