Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Gateway Lab School

Gateway Lab School was paid $38K by Medicaid between May 2018 and Jan 2024, across 6 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 34% of everything it billed.

33Billing provider infoGATEWAY LAB SCHOOL
WILMINGTON, DE 19808
33aNPI1275965832assigned 08/06/2013
28Total paid$38K
24GClaims1,745
24DCodes billed6
24AFirst – last monthMay 2018 – Jan 2024
Compared with peers

Next to other Local Education Agency (LEA) providers in Delaware

Rank by total paid#20 of 36
Median peer was paid$42K
This provider vs. median0.9×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2018400$8K
2019544$12K
202033$699.27
2021286$6K
2022271$6K
2023198$5K
2024incomplete13$287.30
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97530 Therapeutic activities, direct patient contact, each 15 minutes 34% 533 231 $13K
92508 Group treatment of speech, language, voice, communication, and/or auditory processing disorder 20% 393 118 $8K
T1001 Nursing assessment / evaluation 17% 300 300 $6K
99173 15% 273 271 $6K
V5008 Hearing screening 11% 191 191 $4K
S5190 Wellness assessment, performed by non-physician 3.0% 55 55 $1K

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 officialDOLAN, CATHERINE (HEAD OF SCHOOL)
Parent organizationSTATE OF DELAWARE