Clinic
Gateway Community Health Center, INC.
Gateway Community Health Center, INC. was paid $352K by Medicaid between Aug 2020 and Oct 2024, across 9 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
33Billing provider infoGATEWAY COMMUNITY HEALTH CENTER, INC.
ZAPATA, TX 78076
ZAPATA, TX 78076
33aNPI1629271648assigned 06/07/2007
33bProvider typeAmbulatory Family Planning Facility
28Total paid$352K
24GClaims6,471
24DCodes billed9
24AFirst – last monthAug 2020 – Oct 2024
Compared with peers
Next to other Ambulatory Family Planning Facility providers in Texas
Rank by total paid#22 of 73
Median peer was paid$144K
This provider vs. median2.4×
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
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 | |
|---|---|---|---|
| 2020 | 92 | $5K | |
| 2021 | 1,805 | $67K | |
| 2022 | 2,400 | $130K | |
| 2023 | 1,846 | $120K | |
| 2024incomplete | 328 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 78% | 1,841 | 1,455 | $275K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 15% | 1,696 | 1,482 | $51K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.3% | 2,410 | 2,081 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 338 | 279 | $6K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 13 | 13 | $175.05 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 34 | 29 | $48.76 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 71 | 68 | $39.60 |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 0% | 12 | 12 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 56 | 54 | $0.00 |
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 officialLOPEZ, ELMO (CEO)
| Provider | Location | Paid |
|---|---|---|
| Gateway Community Health Center, INC. | Laredo, TX | $12.67M |
| Gateway Community Health Center, INC | Laredo, TX | $1.29M |
| Gateway Community Health Center, INC. | Hebbronville, TX | $200K |
| Gateway Community Health Center, INC | Laredo, TX | $144K |
| Gateway Community Health Center, INC | Laredo, TX | $133K |
| Gateway Community Health Center INC | Laredo, TX | $130K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.