Medicaid Provider Spending

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

GATEWAY FOUNDATION, INC.

NPI: 1447650056 · CHICAGO, IL 60647 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 09/02/2014

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

100% of spending on code H0005 with only 3 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official BRITTON, THOMAS controls 17+ related entities in our dataset. Read more

$2.42M
Total Medicaid Paid
32,588
Total Claims
3,066
Beneficiaries
3
Codes Billed
2018-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBRITTON, THOMAS (PRESIDENT & CEO)
Parent OrganizationGATEWAY FOUNDATION, INC.
NPI Enumeration Date09/02/2014

Related Entities

Other providers sharing the same authorized official: BRITTON, THOMAS

ProviderCityStateTotal Paid
GATEWAY FOUNDATION, INC. SPRINGFIELD IL $8.36M
GATEWAY FOUNDATION, INC. SWANSEA IL $3.17M
GATEWAY FOUNDATION, INC. CHICAGO IL $2.01M
GATEWAY FOUNDATION, INC CHICAGO IL $1.87M
GATEWAY FOUNDATION, INC. PEKIN IL $1.60M
GATEWAY FOUNDATION INC. GURNEE IL $1.13M
GATEWAY FOUNDATION, INC. CASEYVILLE IL $404K
GATEWAY FOUNDATION INC. JOLIET IL $290K
GATEWAY FOUNDATION, INC. CHICAGO IL $126K
GATEWAY FOUNDATION INC. SPRINGFIELD IL $64K
GATEWAY FOUNDATION INC. SMYRNA DE $50K
GATEWAY FOUNDATION, INC. CARBONDALE IL $24K
CLUB VIEW VISION CENTER, INC. BUCYRUS OH $22K
GATEWAY FOUNDATION, INC SPRINGFIELD IL $11K
GATEWAY FOUNDATION INC. CHICAGO IL $6K
GATEWAY FOUNDATION INC. LAKE VILLA IL $4K
GATEWAY FOUNDATION INC. CASEYVILLE IL $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,232 $154K
2019 5,389 $339K
2020 5,599 $287K
2021 4,904 $237K
2022 5,255 $435K
2023 4,754 $488K
2024 4,455 $479K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0005 Alcohol and/or drug services; group counseling by a clinician 32,505 3,005 $2.41M
90791 Psychiatric diagnostic evaluation 58 45 $8K
H0004 Behavioral health counseling and therapy, per 15 minutes 25 16 $944.00