GATEWAY QUALITY HOME CARE LLC
NPI: 1568850378
· SAINT CHARLES, MO 63301
· Home Health Agency
· NPI assigned 12/31/2014
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$2.85M
Total Medicaid Paid
Provider Details
| Authorized Official | BROWN, CHARAY (PRESIDENT) |
| Parent Organization | GATEWAY QUALITY HOME CARE LLC |
| NPI Enumeration Date | 12/31/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,978 |
$506K |
| 2019 |
12,769 |
$712K |
| 2020 |
13,900 |
$791K |
| 2021 |
12,364 |
$751K |
| 2022 |
1,541 |
$91K |
| 2023 |
46 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1019 |
Personal care services, per 15 minutes, 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) |
49,552 |
1,726 |
$2.85M |
| 0240U |
|
17 |
17 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
29 |
29 |
$398.82 |