Clinic
Gateway Community Health Center, INC
Gateway Community Health Center, INC was paid $1.29M by Medicaid between Aug 2020 and Dec 2024, across 24 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 89% of everything it billed.
33Billing provider infoGATEWAY COMMUNITY HEALTH CENTER, INC
LAREDO, TX 78045
LAREDO, TX 78045
33aNPI1194298224assigned 01/11/2019
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.29M
24GClaims18,178
24DCodes billed24
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#106 of 248
Median peer was paid$796K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2020 | 733 | $50K | |
| 2021 | 4,687 | $352K | |
| 2022 | 6,375 | $424K | |
| 2023 | 4,457 | $324K | |
| 2024incomplete | 1,926 | $136K |
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 | 89% | 7,624 | 6,015 | $1.15M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.1% | 4,171 | 3,465 | $116K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 168 | 162 | $5K |
| 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 | <1% | 138 | 124 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 120 | 106 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 113 | 105 | $3K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 83 | 64 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 51 | 49 | $2K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 25 | 24 | $914.25 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 124 | 119 | $165.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 902 | 791 | $148.39 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 625 | 588 | $47.21 |
12 more codes
| 92552 | <1% | 57 | $24.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 982 | $13.89 |
| 99173 | 0% | 462 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 27 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 694 | $0.00 |
| 90461 | 0% | 344 | $0.00 | |
| 90672 | 0% | 18 | $0.00 | |
| 92551 | 0% | 291 | $0.00 | |
| 3008F | 0% | 811 | $0.00 | |
| 90686 | 0% | 308 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 12 | $0.00 |
| 90656 | 0% | 28 | $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. | Zapata, TX | $352K |
| Gateway Community Health Center, INC. | Hebbronville, TX | $200K |
| Gateway Community Health Center, INC | Laredo, TX | $144K |
| 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.