Clinic
Gateway Ambulatory Surgery Center, LLC
Gateway Ambulatory Surgery Center, LLC was paid $2.73M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 69436, Tympanostomy (requiring insertion of ventilating tube), general anesthesia — 41% of everything it billed.
33Billing provider infoGATEWAY AMBULATORY SURGERY CENTER, LLC
CONCORD, NC 28025
CONCORD, NC 28025
33aNPI1689761546assigned 10/10/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$2.73M
24GClaims12,061
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in North Carolina
Rank by total paid#4 of 89
Median peer was paid$104K
This provider vs. median26×
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 | |
|---|---|---|---|
| 2018 | 1,557 | $282K | |
| 2019 | 1,666 | $294K | |
| 2020 | 853 | $128K | |
| 2021 | 1,237 | $172K | |
| 2022 | 1,956 | $409K | |
| 2023 | 2,060 | $674K | |
| 2024incomplete | 2,732 | $776K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 41% | 3,041 | 1,995 | $1.11M |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 20% | 1,190 | 1,087 | $549K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 15% | 2,663 | 2,136 | $406K |
| 42830 | 7.1% | 411 | 380 | $194K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 7.0% | 1,000 | 762 | $192K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 4.4% | 453 | 393 | $119K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 3.3% | 393 | 323 | $89K |
| 43450 | 1.9% | 547 | 439 | $52K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 95 | 63 | $13K |
| 43235 | <1% | 33 | 28 | $5K | |
| 31231 | <1% | 19 | 12 | $389.35 | |
| 64415 | <1% | 13 | 12 | $250.72 |
3 more codes
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 0% | 963 | $0.00 |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 1,221 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 19 | $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 officialBASHORE, ROBERT (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Gateway Anesthesia LLC | Concord, NC | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.