GATEWAY COMMUNITY HEALTH CENTER, INC

NPI: 1164069035 · LAREDO, TX 78046 · Ambulatory Family Planning Facility · NPI assigned 12/10/2019

$144K

Total Medicaid Paid

2,191

Total Claims

1,634

Beneficiaries

Codes Billed

2022-06

First Month

2023-12

Last Month

Provider Details

Authorized Official	LOPEZ, ELMO (CEO)
NPI Enumeration Date	12/10/2019

Other providers sharing the same authorized official: LOPEZ, ELMO

Provider	City	State	Total Paid
GATEWAY COMMUNITY HEALTH CENTER, INC.	LAREDO	TX	$12.67M
GATEWAY COMMUNITY HEALTH CENTER, INC	LAREDO	TX	$1.29M
GATEWAY COMMUNITY HEALTH CENTER, INC.	ZAPATA	TX	$352K
GATEWAY COMMUNITY HEALTH CENTER, INC.	HEBBRONVILLE	TX	$200K
GATEWAY COMMUNITY HEALTH CENTER, INC	LAREDO	TX	$133K
GATEWAY COMMUNITY HEALTH CENTER INC	LAREDO	TX	$130K

Year	Claims	Total Paid
2022	729	$56K
2023	1,462	$88K

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic visit/encounter, all-inclusive	942	700	$126K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	588	441	$17K
D0999	Unspecified diagnostic procedure, by report	12	12	$1K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	210	155	$48.74
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	239	181	$13.21
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	187	133	$13.20
99173		13	12	$0.00