Medicaid Provider Spending

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

GATEWAY HEALTHCARE, INC

NPI: 1548297690 · CHARLESTOWN, RI 02813 · Community/Behavioral Health Agency · NPI assigned 06/26/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MARKELL, PETER controls 20+ related entities in our dataset. Read more

$731K
Total Medicaid Paid
2,695
Total Claims
1,774
Beneficiaries
12
Codes Billed
2024-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMARKELL, PETER (EVP & CFO)
NPI Enumeration Date06/26/2006

Related Entities

Other providers sharing the same authorized official: MARKELL, PETER

ProviderCityStateTotal Paid
RHODE ISLAND HOSPITAL PROVIDENCE RI $380.77M
THE MIRIAM HOSPITAL PROVIDENCE RI $138.58M
GATEWAY HEALTHCARE INC PAWTUCKET RI $122.93M
EMMA PENDLETON BRADLEY HOSPITAL RIVERSIDE RI $37.64M
NEWPORT HOSPITAL NEWPORT RI $15.82M
RHODE ISLAND HOSPITAL PROVIDENCE RI $13.22M
LIFESPAN PHYSICIAN GROUP, INC. WARWICK RI $6.48M
LIFESPAN PHYSICIAN GROUP, INC. PROVIDENCE RI $5.64M
RHODE ISLAND HOSPITAL PROVIDENCE RI $5.32M
EMMA PENDLETON BRADLEY HOSPITAL EAST PROVIDENCE RI $5.03M
LIFESPAN PHYSICIAN GROUP INC PROVIDENCE RI $4.41M
RHODE ISLAND HOSPITAL PROVIDENCE RI $3.97M
NEWPORT HOSPITAL NEWPORT RI $3.05M
RHODE ISLAND HOSPITAL EAST PROVIDENCE RI $2.58M
VNA TECHNICARE, INC. PROVIDENCE RI $2.52M
RHODE ISLAND HOSPITAL PROVIDENCE RI $2.33M
COASTAL MEDICAL PHYSICIANS, INC. PROVIDENCE RI $1.33M
GATEWAY HEALTHCARE, INC. PAWTUCKET RI $1.31M
COASTAL MEDICAL PHYSICIANS, INC. PROVIDENCE RI $1.20M
GATEWAY HEALTHCARE, INC JOHNSTON RI $1.13M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 2,695 $731K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1041 Medicaid certified community behavioral health clinic services, per month 657 622 $731K
H2023 Supported employment, per 15 minutes 19 12 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 89 57 $0.00
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 1,231 487 $0.00
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 51 32 $0.00
90791 Psychiatric diagnostic evaluation 38 37 $0.00
S9986 Not medically necessary service (patient is aware that service not medically necessary) 371 340 $0.00
H0046 Mental health services, not otherwise specified 72 45 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 20 14 $0.00
90834 Psychotherapy, 45 minutes with patient 34 18 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 57 56 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 56 54 $0.00