Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Gateway Wellness Center, LLC

Gateway Wellness Center, LLC was paid $3.49M by Medicaid between Jan 2018 and Dec 2024, across 94 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoGATEWAY WELLNESS CENTER, LLC
COLUMBUS, OH 43215
33aNPI1154551802assigned 07/15/2009
33bProvider typeSpecialist
28Total paid$3.49M
24GClaims251,098
24DCodes billed94
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Specialist providers in Ohio

Rank by total paid#10 of 219
Median peer was paid$46K
This provider vs. median76×

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$20K$40K$60K2018201920202021202220232024
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
201820,508$580K
201936,941$623K
202035,940$554K
202137,086$496K
202242,966$498K
202353,634$476K
2024incomplete24,023$258K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36% 36,893 30,384 $1.26M
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 31% 20,815 18,060 $1.09M
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3.2% 1,790 1,662 $112K
20610 2.9% 3,049 2,491 $100K
93923 2.7% 1,236 629 $96K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.6% 1,331 1,142 $90K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.0% 820 769 $70K
93922 1.6% 941 834 $55K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1.4% 1,202 1,155 $48K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1.3% 252 191 $44K
95924 1.1% 613 576 $40K
93000 1.1% 3,165 2,831 $38K
82 more codes
20552 <1% 1,088 $29K
99458 <1% 1,126 $29K
90792 Psychiatric diagnostic evaluation with medical services <1% 436 $29K
95923 <1% 744 $29K
90674 <1% 1,034 $25K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,144 $24K
94060 <1% 1,309 $24K
82962 <1% 12,285 $22K
99397 <1% 334 $21K
99490 Ccm add 20min <1% 3,564 $19K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 4,323 $18K
99457 <1% 1,309 $18K
99203 Doctor's office visit, new patient (routine) <1% 375 $18K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,460 $16K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 277 $15K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,142 $15K
83036 Hemoglobin; glycosylated (A1C) <1% 2,049 $11K
96118 <1% 315 $11K
99487 Ccm add 20min <1% 753 $10K
99439 <1% 868 $8K
96132 <1% 166 $8K
96127 <1% 1,669 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 838 $6K
80305 <1% 1,136 $5K
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) <1% 373 $4K
93040 <1% 629 $4K
90656 <1% 278 $4K
95921 <1% 109 $3K
99050 <1% 258 $3K
83014 <1% 444 $2K
81003 <1% 948 $1K
99401 <1% 239 $1K
92250 <1% 58 $1K
99406 <1% 153 $1K
94010 <1% 90 $1K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 68 $748.52
99215 Doctor's office visit, returning patient (complex) <1% 12 $728.69
99489 Ccm add 20min <1% 137 $679.92
99201 <1% 30 $629.06
98976 <1% 24 $601.57
98977 <1% 24 $601.57
80061 Lipid panel <1% 66 $537.68
81007 <1% 33 $481.92
G0008 Administration of influenza virus vaccine <1% 154 $385.57
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 42 $291.40
G0444 Annual depression screening, 5 to 15 minutes <1% 381 $161.82
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 2,509 $156.96
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). <1% 20 $145.84
82270 <1% 15 $31.10
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 1,461 $8.48
3044F <1% 1,775 $0.59
3078F <1% 19,663 $0.56
3074F <1% 22,478 $0.55
3051F <1% 312 $0.27
3077F <1% 6,134 $0.25
3079F <1% 10,970 $0.25
3075F <1% 6,210 $0.22
3080F <1% 3,995 $0.21
3052F <1% 31 $0.05
3046F <1% 72 $0.04
3050F 0% 826 $0.00
1160F 0% 4,519 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 1,524 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 24,255 $0.00
G9510 Adult patients 18 years of age or older with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq- 9 or phq-9m score was not assessed or is greater than or equal to 5 0% 991 $0.00
1159F 0% 5,196 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 0% 566 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 347 $0.00
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) 0% 33 $0.00
2022F 0% 56 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 0% 494 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 10,241 $0.00
1125F 0% 274 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 2,348 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 0% 17 $0.00
3061F 0% 809 $0.00
3048F 0% 2,392 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 1,887 $0.00
3049F 0% 1,220 $0.00
1034F 0% 26 $0.00
4037F 0% 18 $0.00
99000 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 officialWHITE, MARK (PRESIDENT/OWNER)
Same official

Other billing entities under WHITE, MARK

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