Behavioral
Gateway Pediatric Therapy LLC
Gateway Pediatric Therapy LLC was paid $124.92M by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 64% of everything it billed.
33Billing provider infoGATEWAY PEDIATRIC THERAPY LLC
BINGHAM FARMS, MI 48025
BINGHAM FARMS, MI 48025
33aNPI1043622780assigned 05/29/2014
33bProvider typeBehavioral Analyst
28Total paid$124.92M
24GClaims746,730
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Behavioral Analyst providers in Michigan
Rank by total paid#2 of 50
Median peer was paid$1.35M
This provider vs. median93×
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 | 133,749 | $15.15M | |
| 2019 | 110,511 | $19.60M | |
| 2020 | 104,705 | $17.42M | |
| 2021 | 121,029 | $20.62M | |
| 2022 | 98,932 | $17.94M | |
| 2023 | 94,367 | $18.16M | |
| 2024incomplete | 83,437 | $16.03M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 64% | 430,296 | 29,567 | $80.00M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 21% | 150,468 | 29,034 | $26.01M |
| 0365T | 7.9% | 55,912 | 3,146 | $9.88M | |
| 0369T | 2.1% | 12,138 | 3,142 | $2.60M | |
| 97151 | 1.7% | 6,356 | 6,263 | $2.09M | |
| 0364T | 1.1% | 50,976 | 3,147 | $1.40M | |
| 97156 | 1.0% | 22,717 | 15,095 | $1.27M | |
| 0368T | <1% | 12,198 | 3,142 | $716K | |
| 0359T | <1% | 651 | 651 | $305K | |
| H0031 | Mental health assessment, by non-physician | <1% | 724 | 724 | $244K |
| 0370T | <1% | 1,736 | 1,115 | $204K | |
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | <1% | 1,916 | 1,916 | $127K |
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 officialVESTEVICH, CHRISTINA (THERAPIST / OWNER)