Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GATEWAY HEALTHCARE SERVICES LLC

NPI: 1215462296 · FAIRFAX, VA 22031 · Home Health Agency · NPI assigned 04/27/2017

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

93% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

$22.10M
Total Medicaid Paid
149,706
Total Claims
6,742
Beneficiaries
3
Codes Billed
2018-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialOWUSU, EMMANUEL (ADMINISTRATOR)
NPI Enumeration Date04/27/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,220 $882K
2019 6,176 $2.16M
2020 12,432 $2.06M
2021 21,752 $2.31M
2022 25,249 $3.17M
2023 39,568 $5.30M
2024 39,309 $6.21M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 131,129 5,026 $20.50M
T1005 Respite care services, up to 15 minutes 18,452 1,632 $1.54M
G2021 Health care practitioners rendering treatment in place (tip) 125 84 $65K