Agency
Gateway Quality Home Care LLC
Gateway Quality Home Care LLC was paid $2.85M by Medicaid between Apr 2018 and Mar 2023, across 3 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 100% of everything it billed.
33Billing provider infoGATEWAY QUALITY HOME CARE LLC
SAINT CHARLES, MO 63301
SAINT CHARLES, MO 63301
33aNPI1568850378assigned 12/31/2014
33bProvider typeHome Health Agency
28Total paid$2.85M
24GClaims49,598
24DCodes billed3
24AFirst – last monthApr 2018 – Mar 2023
Compared with peers
Next to other Home Health Agency providers in Missouri
Rank by total paid#183 of 572
Median peer was paid$1.41M
This provider vs. median2.0×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
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 | 8,978 | $506K | |
| 2019 | 12,769 | $712K | |
| 2020 | 13,900 | $791K | |
| 2021 | 12,364 | $751K | |
| 2022 | 1,541 | $91K | |
| 2023 | 46 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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) | 100% | 49,552 | 1,726 | $2.85M |
| 0240U | <1% | 17 | 17 | $1K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 29 | 29 | $398.82 |
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 officialBROWN, CHARAY (PRESIDENT)
Parent organizationGATEWAY QUALITY HOME CARE LLC