Clinic
Gateway Community Health Center, INC.
Gateway Community Health Center, INC. was paid $12.67M by Medicaid between Jan 2018 and Dec 2024, across 87 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 76% of everything it billed.
33Billing provider infoGATEWAY COMMUNITY HEALTH CENTER, INC.
LAREDO, TX 78041
LAREDO, TX 78041
33aNPI1013948447assigned 07/05/2006
33bProvider typeAmbulatory Family Planning Facility
28Total paid$12.67M
24GClaims185,221
24DCodes billed87
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ambulatory Family Planning Facility providers in Texas
Rank by total paid#3 of 73
Median peer was paid$144K
This provider vs. median88×
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 | |
|---|---|---|---|
| 2018 | 818 | $83K | |
| 2019 | 986 | $81K | |
| 2020 | 8,615 | $494K | |
| 2021 | 39,181 | $2.36M | |
| 2022 | 46,106 | $3.08M | |
| 2023 | 49,426 | $3.46M | |
| 2024incomplete | 40,089 | $3.11M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 76% | 76,260 | 62,801 | $9.64M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 42,201 | 36,062 | $1.49M |
| D0999 | Unspecified diagnostic procedure, by report | 2.4% | 1,932 | 1,693 | $308K |
| 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 | 1.8% | 6,256 | 5,782 | $228K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 2,221 | 2,117 | $140K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 2,289 | 2,119 | $137K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 3,202 | 2,962 | $106K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,961 | 1,366 | $100K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,555 | 1,454 | $92K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 3,569 | 3,296 | $72K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 6,482 | 5,942 | $50K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,766 | 1,572 | $46K |
75 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 870 | $43K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,656 | $36K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 557 | $32K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 658 | $24K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 325 | $20K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,878 | $12K |
| 0001A | <1% | 423 | $11K | |
| 0071A | <1% | 469 | $10K | |
| 0002A | <1% | 348 | $8K | |
| CP002 | <1% | 754 | $7K | |
| 0072A | <1% | 412 | $7K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 27 | $6K |
| 90621 | <1% | 61 | $6K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 60 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 56 | $3K |
| 99382 | <1% | 69 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $3K |
| 99383 | <1% | 27 | $2K | |
| 0012A | <1% | 91 | $2K | |
| D1110 | Prophylaxis - adult | <1% | 301 | $1K |
| 0004A | <1% | 55 | $1K | |
| 90461 | <1% | 1,916 | $1K | |
| 90686 | <1% | 1,562 | $1K | |
| 99381 | <1% | 32 | $1K | |
| 99205 | Prolong outpt/office vis | <1% | 37 | $906.57 |
| 92551 | <1% | 1,033 | $874.75 | |
| 0031A | <1% | 54 | $789.75 | |
| 0054A | <1% | 31 | $760.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 739 | $745.19 |
| D0274 | Bitewings - four radiographic images | <1% | 218 | $725.76 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 38 | $652.00 |
| 0111A | <1% | 18 | $598.00 | |
| 0064A | <1% | 25 | $558.00 | |
| 0011A | <1% | 104 | $466.67 | |
| D0120 | Dental checkup, returning patient | <1% | 427 | $414.00 |
| 0124A | <1% | 40 | $360.00 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 311 | $359.86 |
| 0074A | <1% | 16 | $320.00 | |
| 0134A | <1% | 17 | $320.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 15 | $298.35 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,718 | $263.95 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 43 | $249.66 |
| 81003 | <1% | 63 | $239.68 | |
| 81025 | <1% | 56 | $175.92 | |
| 90734 | <1% | 275 | $159.34 | |
| D1206 | Topical application of fluoride varnish | <1% | 602 | $155.40 |
| 90710 | <1% | 82 | $141.41 | |
| 90697 | <1% | 12 | $135.87 | |
| 90656 | <1% | 334 | $69.88 | |
| 92558 | <1% | 14 | $68.85 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 25 | $40.70 |
| 86580 | <1% | 81 | $31.72 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 607 | $20.76 |
| 91301 | <1% | 250 | $0.13 | |
| 91300 | <1% | 825 | $0.04 | |
| 99173 | 0% | 2,549 | $0.00 | |
| 92552 | 0% | 16 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 51 | $0.00 |
| 90633 | 0% | 129 | $0.00 | |
| 90715 | 0% | 16 | $0.00 | |
| 90671 | 0% | 160 | $0.00 | |
| 90670 | 0% | 70 | $0.00 | |
| 90685 | 0% | 13 | $0.00 | |
| 91307 | 0% | 881 | $0.00 | |
| 3008F | 0% | 3,868 | $0.00 | |
| D0602 | 0% | 400 | $0.00 | |
| 91303 | 0% | 50 | $0.00 | |
| 90680 | 0% | 140 | $0.00 | |
| 90651 | 0% | 178 | $0.00 | |
| 90694 | 0% | 29 | $0.00 | |
| 90647 | 0% | 52 | $0.00 | |
| 97169 | 0% | 17 | $0.00 | |
| 90677 | 0% | 78 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 84 | $0.00 |
| D0603 | 0% | 16 | $0.00 |
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 officialLOPEZ, ELMO (CEO)
| Provider | Location | Paid |
|---|---|---|
| Gateway Community Health Center, INC | Laredo, TX | $1.29M |
| Gateway Community Health Center, INC. | Zapata, TX | $352K |
| Gateway Community Health Center, INC. | Hebbronville, TX | $200K |
| Gateway Community Health Center, INC | Laredo, TX | $144K |
| Gateway Community Health Center, INC | Laredo, TX | $133K |
| Gateway Community Health Center INC | Laredo, TX | $130K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.