Gateway Foundation, INC.
Gateway Foundation, INC. was paid $3.17M by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is H0005, Alcohol and/or drug services; group counseling by a clinician — 93% of everything it billed.
SWANSEA, IL 62226
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Illinois
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,339 | $384K | |
| 2019 | 13,435 | $795K | |
| 2020 | 7,575 | $501K | |
| 2021 | 4,455 | $275K | |
| 2022 | 3,250 | $249K | |
| 2023 | 4,378 | $351K | |
| 2024incomplete | 6,442 | $615K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 93% | 42,288 | 5,877 | $2.93M |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 5.7% | 1,632 | 1,217 | $179K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1.5% | 745 | 442 | $47K |
| H2010 | Comprehensive medication services, per 15 minutes | <1% | 142 | 83 | $7K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 20 | 12 | $3K |
| 80305 | <1% | 47 | 36 | $421.58 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Gateway Foundation, INC. | Springfield, IL | $8.36M |
| Gateway Foundation, INC. | Chicago, IL | $2.42M |
| Gateway Foundation, INC. | Chicago, IL | $2.01M |
| Gateway Foundation, INC | Chicago, IL | $1.87M |
| Gateway Foundation, INC. | Pekin, IL | $1.60M |
| Gateway Foundation INC. | Gurnee, IL | $1.13M |
| Gateway Foundation, INC. | Caseyville, IL | $404K |
| Gateway Foundation INC. | Joliet, IL | $290K |
| Gateway Foundation, INC. | Chicago, IL | $126K |
| Gateway Foundation INC. | Springfield, IL | $64K |
| Gateway Foundation INC. | Smyrna, DE | $50K |
| Gateway Foundation, INC. | Carbondale, IL | $24K |
| Club View Vision Center, INC. | Bucyrus, OH | $22K |
| Gateway Foundation, INC | Springfield, IL | $11K |
| Gateway Foundation INC. | Chicago, IL | $6K |
| Gateway Foundation INC. | Lake Villa, IL | $4K |
| Gateway Foundation INC. | Caseyville, IL | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.