Medicaid Provider Spending

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

GATEWAY COMMUNITY HEALTH CENTER, INC.

NPI: 1629271648 · ZAPATA, TX 78076 · Ambulatory Family Planning Facility · NPI assigned 06/07/2007

$352K
Total Medicaid Paid
6,471
Total Claims
5,473
Beneficiaries
9
Codes Billed
2020-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLOPEZ, ELMO (CEO)
NPI Enumeration Date06/07/2007

Related Entities

Other providers sharing the same authorized official: LOPEZ, ELMO

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 92 $5K
2021 1,805 $67K
2022 2,400 $130K
2023 1,846 $120K
2024 328 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 1,841 1,455 $275K
G0467 Federally 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 1,696 1,482 $51K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,410 2,081 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 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 13 13 $175.05
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 34 29 $48.76
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 71 68 $39.60
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12 12 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 56 54 $0.00