GATEWAY REHABILITATION CENTER-EAST LIBERTY
NPI: 1477554871
· EAST LIBERTY, PA 15206
· Substance Use Disorder Rehabilitation Clinic/Center
· NPI assigned 08/09/2005
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H0015 with only 1 total codes billed. Highly concentrated billing profile.
$2.71M
Total Medicaid Paid
Provider Details
| Authorized Official | TROUP, JAMES (PRESIDENT/CEO) |
| Parent Organization | GATEWAY REHABILITATION CENTER |
| NPI Enumeration Date | 08/09/2005 |
Related Entities
Other providers sharing the same authorized official: TROUP, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
2,130 |
$225K |
| 2021 |
5,795 |
$623K |
| 2022 |
7,699 |
$900K |
| 2023 |
8,131 |
$961K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
23,755 |
3,673 |
$2.71M |