Clinic
Gateway Community Health Center, INC
Gateway Community Health Center, INC was paid $144K by Medicaid between Jun 2022 and Dec 2023, across 7 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 87% of everything it billed.
33Billing provider infoGATEWAY COMMUNITY HEALTH CENTER, INC
LAREDO, TX 78046
LAREDO, TX 78046
33aNPI1164069035assigned 12/10/2019
33bProvider typeAmbulatory Family Planning Facility
28Total paid$144K
24GClaims2,191
24DCodes billed7
24AFirst – last monthJun 2022 – Dec 2023
Compared with peers
Next to other Ambulatory Family Planning Facility providers in Texas
Rank by total paid#37 of 73
Median peer was paid$144K
This provider vs. median1.0×
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
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 | |
|---|---|---|---|
| 2022 | 729 | $56K | |
| 2023 | 1,462 | $88K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 87% | 942 | 700 | $126K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 588 | 441 | $17K |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 12 | 12 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 210 | 155 | $48.74 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 239 | 181 | $13.21 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 187 | 133 | $13.20 |
| 99173 | 0% | 13 | 12 | $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 officialLOPEZ, ELMO (CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.