Clinic
Gateways Recovery INC
Gateways Recovery INC was paid $2.88M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoGATEWAYS RECOVERY INC
CINCINNATI, OH 45238
CINCINNATI, OH 45238
33aNPI1265453930assigned 07/21/2006
33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center
28Total paid$2.88M
24GClaims56,451
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Ohio
Rank by total paid#41 of 97
Median peer was paid$1.34M
This provider vs. median2.1×
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 | 7,835 | $282K | |
| 2019 | 6,887 | $330K | |
| 2020 | 7,997 | $459K | |
| 2021 | 10,648 | $640K | |
| 2022 | 8,579 | $459K | |
| 2023 | 8,700 | $414K | |
| 2024incomplete | 5,805 | $299K |
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 | 36% | 9,891 | 4,954 | $1.04M |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 14% | 3,192 | 744 | $409K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 13% | 7,599 | 4,757 | $365K |
| T1002 | Rn services, up to 15 minutes | 10% | 9,597 | 4,639 | $293K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 6.7% | 15,182 | 9,071 | $192K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 6.0% | 2,943 | 882 | $173K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.4% | 1,881 | 1,136 | $127K |
| H0006 | Alcohol and/or drug services; case management | 4.2% | 3,390 | 1,967 | $121K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.9% | 976 | 657 | $56K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.2% | 429 | 247 | $33K |
| H0038 | Self-help/peer services, per 15 minutes | 1.0% | 439 | 164 | $30K |
| H2034 | Alcohol and/or drug abuse halfway house services, per diem | <1% | 208 | 28 | $27K |
7 more codes
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 323 | $7K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 283 | $5K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 40 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 21 | $1K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 28 | $1K |
| H0001 | Alcohol and/or drug assessment | <1% | 13 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 16 | $640.92 |
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 officialBROOKS, CARLA (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Talbert House | Cincinnati, OH | $38.02M |
| Talbert House, INC | Cincinnati, OH | $13.91M |
| Talbert House Primary Care | Cincinnati, OH | $607K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.