Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IL › PEKIN › GATEWAY FOUNDATION, INC.

GATEWAY FOUNDATION, INC.

NPI: 1497017677 · PEKIN, IL 61554 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 06/13/2012

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

95% 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

$1.60M
Total Medicaid Paid
22,668
Total Claims
3,077
Beneficiaries
3
Codes Billed
2018-01
First Month
2022-12
Last Month

Provider Details

Authorized OfficialBRITTON, THOMAS (PRESIDENT & CEO)
Parent OrganizationGATEWAY FOUNDATION, INC.
NPI Enumeration Date06/13/2012

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 $2.42M
GATEWAY FOUNDATION, INC. CHICAGO IL $2.01M
GATEWAY FOUNDATION, INC CHICAGO IL $1.87M
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 2,264 $155K
2019 6,040 $429K
2020 5,759 $414K
2021 4,297 $257K
2022 4,308 $341K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0005 Alcohol and/or drug services; group counseling by a clinician 21,936 2,528 $1.52M
H0002 Behavioral health screening to determine eligibility for admission to treatment program 675 534 $76K
H0004 Behavioral health counseling and therapy, per 15 minutes 57 15 $2K