Physician
Gateway Recovery Clinic, PLLC
Gateway Recovery Clinic, PLLC was paid $788K by Medicaid between Nov 2019 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoGATEWAY RECOVERY CLINIC, PLLC
MT STERLING, KY 40353
MT STERLING, KY 40353
33aNPI1003377011assigned 03/31/2019
33bProvider typePsychiatry Physician
28Total paid$788K
24GClaims25,718
24DCodes billed12
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other Psychiatry Physician providers in Kentucky
Rank by total paid#18 of 73
Median peer was paid$137K
This provider vs. median5.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 528 | $13K | |
| 2020 | 4,674 | $153K | |
| 2021 | 5,419 | $159K | |
| 2022 | 5,360 | $168K | |
| 2023 | 5,014 | $146K | |
| 2024incomplete | 4,723 | $148K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 49% | 8,781 | 3,519 | $385K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 28% | 6,107 | 2,779 | $220K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 10% | 1,469 | 796 | $82K |
| 80305 | 8.0% | 8,191 | 3,075 | $63K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.3% | 154 | 97 | $11K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 596 | 392 | $10K |
| T2023 | Targeted case management; per month | 1.1% | 27 | 27 | $8K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 48 | 46 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 195 | 170 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 30 | 25 | $2K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 27 | 15 | $2K |
| 99406 | <1% | 93 | 63 | $528.46 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialZALONE, SARAH (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Sarah Zalone, DO, PLLC | Lexington, KY | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.