Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Residential

Gateway Community Partners INC.

Gateway Community Partners INC. was paid $7.90M by Medicaid between Jan 2021 and Dec 2024, across 19 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 61% of everything it billed.

33Billing provider infoGATEWAY COMMUNITY PARTNERS INC.
JACKSONVILLE, TX 75766
33aNPI1578698395assigned 02/22/2007
28Total paid$7.90M
24GClaims120,015
24DCodes billed19
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers

Next to other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Texas

Rank by total paid#45 of 115
Median peer was paid$5.61M
This provider vs. median1.4×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
202122,520$1.13M
202225,796$2.23M
202330,190$2.22M
2024incomplete41,509$2.32M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2016 Community support for mental illness or disability, billed per dayComprehensive community support services, per diem 61% 25,100 1,516 $4.84M
H2014 Skills training and development, per 15 minutes 9.9% 37,724 1,481 $784K
M0166 9.2% 5,125 206 $731K
M0123 5.0% 5,153 204 $392K
T2020 Day habilitation, waiver; per diem 4.7% 12,227 714 $369K
M0115 2.8% 7,820 463 $220K
M0116 2.3% 5,888 346 $181K
M0201 Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home 1.4% 4,122 290 $114K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 1.3% 355 334 $102K
T1003 Lpn/lvn services, up to 15 minutes <1% 5,004 1,296 $42K
M0372 <1% 3,387 167 $30K
M0419 <1% 2,812 191 $28K
7 more codes
T1002 Rn services, up to 15 minutes <1% 1,162 $24K
M0298 <1% 2,045 $18K
T2016 A day of residential support for a person with a developmental disability <1% 1,742 $18K
M0113 <1% 14 $4K
M0299 <1% 154 $4K
M0315 <1% 134 $3K
M0360 <1% 47 $586.24

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 officialGRIMES, ANDREA (PROGRAM MANAGER)