Gateway Primary Care, LLC

Gateway Primary Care, LLC was paid $172K by Medicaid between Jan 2018 and Jul 2020, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.

33Billing provider infoGATEWAY PRIMARY CARE, LLC
OWENSBORO, KY 42303

33aNPI1215306816assigned 09/24/2015

33bProvider typePrimary Care Nurse Practitioner

28Total paid$172K

24GClaims6,575

24DCodes billed18

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other Primary Care Nurse Practitioner providers in Kentucky

Rank by total paid#3 of 20

Median peer was paid$16K

This provider vs. median11×

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
2018	2,689	$70K
2019	2,814	$71K
2020	1,072	$31K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	58%	2,891	2,197	$100K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	1,427	1,076	$35K
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	9.9%	271	236	$17K
99406		3.2%	894	685	$6K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	3.0%	477	372	$5K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.3%	77	72	$4K
99491	Ccm add 20min	1.1%	80	69	$2K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	17	17	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	48	43	$533.79
90686		<1%	35	31	$447.42
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	20	12	$438.05
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	159	136	$275.66

6 more codes

90756		<1%	15	$146.98
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	20	$90.69
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	17	$44.73
J2001	Injection, lidocaine hcl for intravenous infusion, 10 mg	<1%	22	$1.56
3074F		<1%	55	$0.46
3078F		<1%	50	$0.41

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 officialMCNULTY, JOHN (OWNER)

Same official

Other billing entities under MCNULTY, JOHN

Full network →

Provider	Location	Paid
Newburgh Urgent Care LLC	Newburgh, IN	$6.15M
Gateway Urgent Care, LLC	Owensboro, KY	$4.11M

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