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

Why is the Medicaid comparison limited to Minnesota 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. Minnesota (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 Counseling Center, Inc. (NPI 1831220748)

Field	Value
Entity Type	Organization
Organization	Pathways Counseling Center, Inc.
Address	1919 University Ave W
City	Saint Paul
State	MN
ZIP	55104
Taxonomy	Rehabilitation Psychologist
NPI Enumerated	March 9, 2007

Payer Source	Total Paid
Medicaid	$23.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	151,330	$100	$15.7M
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…	36,750	$110	$3.9M
T1013	Sign language or oral interpretive services, per 15 minutes	35,000	$50	$1.8M
H0046	Mental health services, not otherwise specified	63,490	$10	$698.4K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	33,550	$10	$402.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,430	$120	$298.4K
H0031	Mental health assessment, by non-physician	2,850	$70	$205.5K
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…	2,740	$60	$161.5K
H0032	Mental health service plan development by non-physician	1,060	$80	$83.7K
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…	970	$80	$73.5K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Pathways Counseling Center, Inc. — 3 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	3	230	6,320	$120	$2M
T1013	Sign language or oral interpretive services, per 15 minutes	14	210	560	$60	$822.1K
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…	22	1,140	1,010	$100	$543K
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…	267	620	560	$80	$361.9K
H0032	Mental health service plan development by non-physician	91	230	490	$80	$255.2K
H0046	Mental health services, not otherwise specified	14	210	2,990	$10	$213.5K
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…	62	340	300	$100	$209.2K
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…	52	120	980	$60	$174.5K
H0031	Mental health assessment, by non-physician	20	170	270	$80	$136.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	48	500	90	$120	$124.6K

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paul Novotny	MN	Mental Health Counselor	$63.9K	$280K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heritage Home Health Care Inc.	MN	Home Health Agency	$0	$66.7M
Amherst H. Wilder Foundation	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$33.9M
Fairview Express Care	MN	Specialist	$0	$33.1M
Allegiance Ability Assistance LLC	MN	Home Health Agency	$0	$25.9M
Catholic Charities Of The Archdiocese Of St Paul & Mpls	MN	Case Management Agency	$0	$17.5M
Twin Town Treatment Center LLC	MN	Substance Abuse Rehabilitation Facility	$0	$16.7M
Caremate Home Health Care, Inc.	MN	Home Health Agency	$0	$14.2M
Ea Bilingual Services, Inc.	MN	Interpreter	$0	$12.6M
Transitions Homes Corporation	MN	Substance Abuse Rehabilitation Facility	$0	$11.8M
Fairview Express Care	MN	General Practice Physician	$0	$11.4M

Pathways Counseling Center, Inc. — Billing Profile & Reimbursement Data

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Pathways Counseling Center, 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