Medicaid Provider Spending

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

GATEWAY ASSISTED LIVING, INC.

NPI: 1457594731 · SPRINGFIELD, OR 97477 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 04/15/2009

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

100% of spending on code T1020 with only 1 total codes billed. Highly concentrated billing profile.

$1.67M
Total Medicaid Paid
455
Total Claims
398
Beneficiaries
1
Codes Billed
2018-02
First Month
2021-10
Last Month

Provider Details

Authorized OfficialBRITT, BARBARA (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date04/15/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 141 $246K
2019 128 $440K
2020 80 $426K
2021 106 $561K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1020 Personal care services, per diem, 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) 455 398 $1.67M