Physician
Gateway Medical Group LC
Gateway Medical Group LC was paid $447K by Medicaid between Jan 2018 and Dec 2022, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoGATEWAY MEDICAL GROUP LC
OKEECHOBEE, FL 34972
OKEECHOBEE, FL 34972
33aNPI1124012422assigned 09/01/2005
33bProvider typeInternal Medicine Physician
28Total paid$447K
24GClaims21,553
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Internal Medicine Physician providers in Florida
Rank by total paid#82 of 1,247
Median peer was paid$9K
This provider vs. median51×
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.
Entity ProliferationAuthorized official SMITH, JOHN controls 20+ related entities in our dataset. Read more
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 | 2,750 | $10K | |
| 2019 | 5,612 | $140K | |
| 2020 | 4,790 | $85K | |
| 2021 | 4,639 | $111K | |
| 2022 | 3,762 | $102K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 3,799 | 3,374 | $176K |
| 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 | 20% | 3,665 | 2,928 | $90K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.5% | 347 | 342 | $38K |
| 99223 | Prolong inpt eval add15 m | 7.6% | 597 | 460 | $34K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.1% | 257 | 253 | $27K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 241 | 225 | $24K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.0% | 120 | 119 | $14K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.0% | 1,634 | 1,591 | $13K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.8% | 1,864 | 466 | $8K |
| 97802 | 1.8% | 520 | 503 | $8K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.7% | 407 | 401 | $8K |
| 90461 | <1% | 53 | 43 | $1K |
29 more codes
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,057 | $1K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,233 | $1K |
| 85018 | <1% | 1,249 | $983.19 | |
| 90688 | <1% | 129 | $721.86 | |
| 81002 | <1% | 860 | $698.01 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 47 | $661.04 |
| 90633 | <1% | 130 | $592.18 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 38 | $148.80 |
| 90670 | <1% | 153 | $100.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 617 | $0.00 |
| 99173 | 0% | 493 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 14 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 28 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 69 | $0.00 |
| 90662 | 0% | 14 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 22 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 630 | $0.00 |
| 92551 | 0% | 469 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 67 | $0.00 |
| 94760 | 0% | 336 | $0.00 | |
| 90686 | 0% | 46 | $0.00 | |
| 90680 | 0% | 39 | $0.00 | |
| 96127 | 0% | 27 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 72 | $0.00 |
| 90698 | 0% | 51 | $0.00 | |
| 3008F | 0% | 92 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 13 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 41 | $0.00 |
| 90716 | 0% | 13 | $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 officialSMITH, JOHN (COO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.