Supplier
Gateway Home Care, LLC
Gateway Home Care, LLC was paid $1.06M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 47% of everything it billed.
33Billing provider infoGATEWAY HOME CARE, LLC
KEARNEYSVILLE, WV 25430
KEARNEYSVILLE, WV 25430
33aNPI1518953678assigned 09/23/2005
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$1.06M
24GClaims33,173
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in West Virginia
Rank by total paid#25 of 144
Median peer was paid$2K
This provider vs. median602×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,793 | $138K | |
| 2019 | 3,928 | $121K | |
| 2020 | 6,062 | $217K | |
| 2021 | 5,614 | $176K | |
| 2022 | 4,130 | $132K | |
| 2023 | 5,589 | $163K | |
| 2024incomplete | 3,057 | $115K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 47% | 8,821 | 7,853 | $497K |
| E0601 | Continuous positive airway pressure (cpap) device | 11% | 3,264 | 2,836 | $118K |
| A7030 | Full face mask used with positive airway pressure device, each | 8.5% | 1,174 | 1,079 | $91K |
| A4520 | Incontinence garment, any type, (e.g., brief, diaper), each | 7.4% | 913 | 857 | $79K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 6.7% | 6,714 | 5,892 | $71K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 3.2% | 1,487 | 1,322 | $34K |
| A7035 | Headgear used with positive airway pressure device | 3.1% | 1,665 | 1,534 | $33K |
| E0570 | Nebulizer, with compressor | 3.0% | 2,096 | 1,826 | $32K |
| A7037 | Tubing used with positive airway pressure device | 2.8% | 1,796 | 1,657 | $30K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 1.9% | 734 | 634 | $20K |
| A7038 | Filter, disposable, used with positive airway pressure device | 1.5% | 2,381 | 2,217 | $16K |
| K0001 | Standard wheelchair | 1.1% | 872 | 754 | $11K |
11 more codes
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 150 | $8K |
| E0603 | Breast pump, electric (ac and/or dc), any type | <1% | 72 | $3K |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 154 | $3K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 78 | $3K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 369 | $3K |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 180 | $3K |
| A4554 | Disposable underpads, all sizes | <1% | 102 | $2K |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | <1% | 27 | $2K |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 97 | $2K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 13 | $685.33 |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 14 | $337.37 |
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 officialBARCELLONA, NICHOLAS (PRESIDENT/CEO)
Parent organizationGATEWAY HOME CARE, LLC
| Provider | Location | Paid |
|---|---|---|
| Upmc Children's Hospital of Pittsburgh Dental Services | Pittsburgh, PA | $3.83M |
| Gateway Home Care, LLC | Bridgeport, WV | $1.09M |
| Upmc Children's Hospital of Pittsburgh | Pittsburgh, PA | $164K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.