Pathway Provider Services, P.C.
Pathway Provider Services is a US-based, behavioral-health-focused practice management firm offering credentialing, revenue cycle management, compliance, and a 1099 telehealth provider network to 150+ psychiatrists, psychologists, nurse practitioners, and therapists since 1994.
- Company typePrivate
- Founded1994
- HeadquartersOak Park, United States
- Headcount1–10
- GTM typeB2B
- OfferingServices
What Pathway Provider Services, P.C. does
Pathway Provider Services, P.C. is a privately held professional corporation founded in 1994 that provides administrative and clinical-practice infrastructure exclusively to behavioral health providers in the United States. The company serves an installed base of 150+ individual and small-group practices, including psychiatrists (MD/DO), psychologists (PhD/PsyD), psychiatric mental health nurse practitioners, and licensed therapists (LCSW, LPC, LMFT, LMHC). The offering is structured as four interconnected core services: credentialing and payer enrollment, revenue cycle management (RCM), compliance support, and a telehealth provider network.
The technology stack centers on a HIPAA-compliant telehealth platform with end-to-end encryption, secure cloud storage, role-based access controls, and audit trails built specifically for behavioral health encounters. RCM operations include eligibility verification, claims submission within 48 hours, behavioral-health-specific claim scrubbing, payment posting, and denial management. Credentialing spans commercial payers (BCBS, Aetna, Cigna, UnitedHealthcare), Medicare, Medicaid, CAQH management, and license/NPI tracking.
Pathway monetizes through percentage-based RCM fees of 6-8% of collections, customized flat monthly retainers, and one-time credentialing setup fees per provider/payer. Its telehealth network pays 1099-contractor providers a percentage of collections twice monthly, while Pathway retains the patient sourcing, scheduling, billing, and platform economics. Distribution is sales-led, with complimentary Calendly consultations, direct outreach, and provider network recruitment. No external funding, M&A activity, executive disclosures, or AI/ML capabilities are documented in the available source material, and the firm operates with 1-10 employees — making it a small, organically grown, niche-services business.
Pathway Provider Services, P.C. firmographics
Firmographics- Name
- Pathway Provider Services, P.C.
- Legal name
- Pathway Provider Services, P.C.
- Website
- https://pathwayprovider.com
- Company type
- Private
- Founded year
- 1994
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- Pathway Provider Services is a US-based, behavioral-health-focused practice management firm offering credentialing, revenue cycle management, compliance, and a 1099 telehealth provider network to 150+ psychiatrists, psychologists, nurse practitioners, and therapists since 1994.
- Ownership category
- akta.pro rank
Pathway Provider Services, P.C. industry classification
Industry- Product category
- Behavioral Health Practice Management Services
- NAICS
- Offices of Physicians, Mental Health Specialists (621112)
- SIC
- Services-Health Services (8000)
- akta.pro primary industry
- Behavioral Health Provider Network Management & Credentialing (HLAEAHAC)
- akta.pro secondary industries
- Provider Network, Credentialing & Contracting Support (BPAAAFAI), Revenue Cycle, Coding & Telehealth Compliance Platforms (for provider orgs) (HLALABAM)
Keywords
Where Pathway Provider Services, P.C. is headquartered
LocationHeadquarters
- HQ city
- Oak Park
- HQ country
- United States
- HQ region
- North America
Markets served
Pathway Provider Services, P.C. business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales
Revenue model
- Revenue Cycle Management Services: Percentage-based billing (6-8% of collections) or flat monthly rate customized based on claim volume for billing, claims submission, payment posting, denial management, and patient billing services for behavioral health practices.
- Credentialing Services: One-time setup fee per provider per payer for credentialing and enrollment services, with discounts available for multiple payers. Includes ongoing credential maintenance and CAQH management.
- Telehealth Provider Compensation: 1099 contractors (psychiatrists, nurse practitioners, psychologists, therapists) receive percentage of collections paid twice monthly for patient care delivered via the telehealth platform.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Transaction based/ take rate | Monthly | Percentage-based billing: 6-8% of collections |
| Subscription | Monthly | Flat monthly rate |
| One time/ perpetual license | Pay-as-you-go | Credentialing setup fee |
Go-to-market motion1 record
Distribution channels1 record
Marketing channels3 records
Pathway Provider Services, P.C. product offering
Product offeringCore offering
Pathway Provider Services provides credentialing and enrollment, revenue cycle management, compliance support, and a HIPAA-compliant telehealth provider network exclusively for behavioral health professionals including psychiatrists, psychologists, psychiatric mental health nurse practitioners, and licensed therapists. The company enrolls providers with commercial payers, Medicare, and Medicaid, submits clean claims within 48 hours, manages denials and patient collections, and supplies telehealth infrastructure and patient flow for 1099 contractor providers. Services are sold month-to-month with percentage-based (6–8% of collections) or flat monthly pricing.
Product overview
Pathway Provider Services, P.C. is a service-based company offering an integrated suite of practice management services for behavioral health providers. The portfolio consists of four interconnected core services: Credentialing & Enrollment Services (handling insurance panel applications, Medicare/Medicaid enrollment, CAQH management, and license/NPI tracking); Revenue Cycle Management (covering eligibility verification, claims submission, denial management, and patient collections with 6-8% or flat-rate pricing); Compliance Support (HIPAA policies, chart audits, telehealth workflows, and BAAs); and a Telehealth Provider Network (a 1099 contractor model where Pathway supplies patients, scheduling, billing, and its proprietary telehealth platform). The services are designed to work together as a comprehensive practice management solution.
Differentiator
Problem solved
Functional benefit
Quantifiable outcome
- 22% increase in monthly collections
- +3 more outcomes
Companies that use Pathway Provider Services, P.C.
Customer profileNamed customers5 records
Segments4 records
Ideal customer profiles4 records
Pathway Provider Services, P.C. technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature4 records
Pathway Provider Services, P.C. partnerships and signals
Strategic signalScale indicators1 record
Recent moves4 records
Expansion highlights4 records
Pathway Provider Services, P.C. competitors and assessment
Company assessmentBroad incumbents
- Tebra (formerly Kareo + PatientPop): Tebra is an all-in-one practice management, billing, and telehealth platform for independent practices that includes behavioral health among its verticals — a broad incumbent against which Pathway competes for the same small provider segment.
- symplr: symplr is a large healthcare workforce and provider data management platform offering credentialing, payer enrollment, and compliance solutions to health systems — a much broader incumbent in the same credentialing infrastructure category.
Emerging players
- Grow Therapy: Grow Therapy is a behavioral health provider network offering insurance credentialing, billing, EHR, and patient sourcing — directly competing with Pathway's telehealth provider network on the same psychiatrist/therapist supply side.
- Headway: Headway operates an in-network mental health provider marketplace with bundled credentialing, billing, and telehealth enablement — a venture-funded verticalized version of Pathway's bundled services model.
- Candid Health: Candid Health is an AI-driven revenue cycle platform with strong penetration in behavioral health practices, offering automated claims and denial management — a technologically newer entrant into the same credentialing/billing workflow Pathway serves.
- Alma: Alma is a clinician-network and managed-services platform for therapists and psychiatrists that bundles credentialing, insurance billing, and practice operations into one stack — highly comparable to Pathway's integrated value proposition.
Direct peers
- Collaborate Health Solutions: Collaborate Health Solutions delivers behavioral health-focused RCM, credentialing, and virtual administrative support to mental health providers, with a similar boutique specialization to Pathway.
- Mahalo Health: Mahalo Health is a behavioral health-specialized RCM and credentialing vendor serving psychiatrists, psychologists, and therapists with percentage-of-collections billing and payer enrollment services — directly mirroring Pathway's core offering and customer base.
- Continental Billing & Management: Continental Billing provides mental health-specific medical billing, credentialing, and practice management for behavioral health providers, paralleling Pathway's bundled credentialing-plus-RCM service model.
- TheraThink (now Serbin Medical Billing): TheraThink/Serbin Medical Billing is a long-standing mental health billing and credentialing service for therapists, psychologists, and psychiatry practices — overlapping directly with Pathway on customer segments, fee model, and core services.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat3 records
Key risks7 records
Key highlights7 records
Customer concentration
Pathway Provider Services, P.C. social profiles
Digital presencePathway Provider Services, P.C. compliance and trust
Trust signalCompliance1 record
Pathway Provider Services, P.C. financial estimates
Financial estimateRevenue estimate
Valuation estimate
Pathway Provider Services, P.C. leadership team
Management profileNumber of profiles
Pathway Provider Services, P.C. funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Pathway Provider Services, P.C. M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Pathway Provider Services, P.C.
What does Pathway Provider Services, P.C. do?
Pathway Provider Services provides credentialing and enrollment, revenue cycle management, compliance support, and a HIPAA-compliant telehealth provider network exclusively for behavioral health professionals including psychiatrists, psychologists, psychiatric mental health nurse practitioners, and licensed therapists. The company enrolls providers with commercial payers, Medicare, and Medicaid, submits clean claims within 48 hours, manages denials and patient collections, and supplies telehealth infrastructure and patient flow for 1099 contractor providers. Services are sold month-to-month with percentage-based (6–8% of collections) or flat monthly pricing.
Is Pathway Provider Services, P.C. a public or private company?
Pathway Provider Services, P.C. is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Pathway Provider Services, P.C. founded?
Pathway Provider Services, P.C. was founded in 1994. It employs 1 to 10 people.
Where is Pathway Provider Services, P.C. based?
Pathway Provider Services, P.C. is headquartered in Oak Park, United States, in the North America region.
How does Pathway Provider Services, P.C. make money?
Three revenue lines are on record. Revenue Cycle Management Services are the primary driver. The others are credentialing Services and telehealth Provider Compensation.
Who are Pathway Provider Services, P.C.'s main competitors?
Broad incumbents on record are Tebra (formerly Kareo + PatientPop) and symplr. Emerging players are Grow Therapy, Headway, Candid Health and Alma. Direct peers are Collaborate Health Solutions, Mahalo Health, Continental Billing & Management and TheraThink (now Serbin Medical Billing).
Does Pathway Provider Services, P.C. have an API?
No public API is recorded for Pathway Provider Services, P.C..
What industry is Pathway Provider Services, P.C. in?
Pathway Provider Services, P.C.'s product category is Behavioral Health Practice Management Services. Its primary akta.pro industry code is HLAEAHAC, Behavioral Health Provider Network Management & Credentialing, with a secondary code of BPAAAFAI, Provider Network, Credentialing & Contracting Support. Its NAICS code is 621112 and its SIC code is 8000.