Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GATEWAY HEALTHCARE, INC.

NPI: 1063957249 · PAWTUCKET, RI 02860 · Community/Behavioral Health Agency · NPI assigned 12/27/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MARKELL, PETER controls 20+ related entities in our dataset. Read more

$1.31M
Total Medicaid Paid
6,482
Total Claims
4,244
Beneficiaries
22
Codes Billed
2024-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMARKELL, PETER (EVP & CFO)
NPI Enumeration Date12/27/2016

Related Entities

Other providers sharing the same authorized official: MARKELL, PETER

ProviderCityStateTotal Paid
RHODE ISLAND HOSPITAL PROVIDENCE RI $380.77M
THE MIRIAM HOSPITAL PROVIDENCE RI $138.58M
GATEWAY HEALTHCARE INC PAWTUCKET RI $122.93M
EMMA PENDLETON BRADLEY HOSPITAL RIVERSIDE RI $37.64M
NEWPORT HOSPITAL NEWPORT RI $15.82M
RHODE ISLAND HOSPITAL PROVIDENCE RI $13.22M
LIFESPAN PHYSICIAN GROUP, INC. WARWICK RI $6.48M
LIFESPAN PHYSICIAN GROUP, INC. PROVIDENCE RI $5.64M
RHODE ISLAND HOSPITAL PROVIDENCE RI $5.32M
EMMA PENDLETON BRADLEY HOSPITAL EAST PROVIDENCE RI $5.03M
LIFESPAN PHYSICIAN GROUP INC PROVIDENCE RI $4.41M
RHODE ISLAND HOSPITAL PROVIDENCE RI $3.97M
NEWPORT HOSPITAL NEWPORT RI $3.05M
RHODE ISLAND HOSPITAL EAST PROVIDENCE RI $2.58M
VNA TECHNICARE, INC. PROVIDENCE RI $2.52M
RHODE ISLAND HOSPITAL PROVIDENCE RI $2.33M
COASTAL MEDICAL PHYSICIANS, INC. PROVIDENCE RI $1.33M
COASTAL MEDICAL PHYSICIANS, INC. PROVIDENCE RI $1.20M
GATEWAY HEALTHCARE, INC JOHNSTON RI $1.13M
GATEWAY HEALTHCARE, INC CHARLESTOWN RI $731K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 6,482 $1.31M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1041 Medicaid certified community behavioral health clinic services, per month 1,420 1,361 $1.31M
S9986 Not medically necessary service (patient is aware that service not medically necessary) 613 564 $0.18
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 198 148 $0.00
J1631 Injection, haloperidol decanoate, per 50 mg 56 32 $0.00
90846 Family psychotherapy without the patient present, 50 minutes 69 45 $0.00
90785 32 30 $0.00
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 2,661 1,031 $0.00
H0046 Mental health services, not otherwise specified 234 188 $0.00
90853 Group psychotherapy (other than of a multiple-family group) 44 13 $0.00
90837 Psychotherapy, 53 minutes with patient 182 79 $0.00
H2023 Supported employment, per 15 minutes 23 13 $0.00
90791 Psychiatric diagnostic evaluation 36 36 $0.00
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 64 53 $0.00
90832 Psychotherapy, 30 minutes with patient 26 23 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 13 12 $0.00
90834 Psychotherapy, 45 minutes with patient 161 92 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 127 100 $0.00
90847 Family psychotherapy with the patient present, 50 minutes 167 97 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 81 78 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 217 199 $0.00
J2427 Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg 14 12 $0.00
J0401 Injection, aripiprazole (abilify maintena), 1 mg 44 38 $0.00