Clinic
Gateway Community Health Center, INC.
Gateway Community Health Center, INC. was paid $1.10M by Medicaid between Aug 2020 and Dec 2024, across 27 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 84% of everything it billed.
33Billing provider infoGATEWAY COMMUNITY HEALTH CENTER, INC.
LAREDO, TX 78046
LAREDO, TX 78046
33aNPI1255376976assigned 06/17/2006
33bProvider typeAmbulatory Family Planning Facility
28Total paid$1.10M
24GClaims17,429
24DCodes billed27
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Ambulatory Family Planning Facility providers in Texas
Rank by total paid#6 of 73
Median peer was paid$144K
This provider vs. median7.6×
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 | 378 | $21K | |
| 2021 | 4,215 | $226K | |
| 2022 | 4,872 | $335K | |
| 2023 | 4,417 | $280K | |
| 2024incomplete | 3,547 | $236K |
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 | 84% | 6,222 | 4,945 | $922K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.7% | 4,648 | 4,009 | $96K |
| 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 | 4.6% | 1,469 | 1,387 | $50K |
| D0999 | Unspecified diagnostic procedure, by report | 1.7% | 115 | 109 | $18K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 189 | 171 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 88 | 78 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 54 | 52 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 547 | 478 | $1K |
| 0001A | <1% | 14 | 14 | $550.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 564 | 521 | $369.49 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 121 | 117 | $52.24 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 28 | 27 | $29.58 |
15 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 933 | $26.40 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 546 | $13.21 |
| 90461 | <1% | 119 | $3.72 | |
| 3008F | 0% | 1,129 | $0.00 | |
| 90686 | 0% | 187 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 64 | $0.00 |
| D0603 | 0% | 52 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 12 | $0.00 |
| 90656 | 0% | 19 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 12 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 12 | $0.00 |
| 92551 | 0% | 46 | $0.00 | |
| 99173 | 0% | 174 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 13 | $0.00 |
| 91300 | 0% | 52 | $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 officialTREVINO, MIGUEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Gateway Community Health Center, INC. | Laredo, TX | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.