Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Residential

Gateway Rehabilitation Center

Gateway Rehabilitation Center was paid $36.22M by Medicaid between Sep 2020 and Dec 2024, across 8 billing codes. Its largest line is H0013, Alcohol and/or drug services; acute detoxification (residential addiction program outpatient) — 30% of everything it billed.

33Billing provider infoGATEWAY REHABILITATION CENTER
ALIQUIPPA, PA 15001
33aNPI1053317644assigned 06/28/2005
28Total paid$36.22M
24GClaims124,375
24DCodes billed8
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers

Next to other Substance Abuse Rehabilitation Facility providers in Pennsylvania

Rank by total paid#4 of 68
Median peer was paid$5.00M
This provider vs. median7.3×

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

$0$500K$1.0M$1.5M2018201920202021202220232024
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
YearClaimsPaid
202013,352$3.25M
202147,328$12.23M
202218,668$5.08M
202321,183$7.19M
2024incomplete23,844$8.47M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0013 Alcohol and/or drug services; acute detoxification (residential addiction program outpatient) 30% 23,253 6,796 $10.82M
H2036 Alcohol and/or other drug treatment program, per diem 28% 36,784 2,654 $10.22M
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 27% 37,773 3,172 $9.75M
T2048 Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem 15% 25,672 1,242 $5.36M
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education <1% 400 72 $49K
H0038 Self-help/peer services, per 15 minutes <1% 281 150 $15K
90792 Psychiatric diagnostic evaluation with medical services <1% 143 138 $13K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 69 58 $4K

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 officialTROUP, JAMES (PRESIDENT/CEO)
Parent organizationGATEWAY REHABILITATION CENTER
Same official

Other billing entities under TROUP, JAMES

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.