Medicaid Provider Spending

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

GATEWAY FOUNDATION, INC.

NPI: 1710482815 · CHICAGO, IL 60654 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 03/29/2018

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

95% of spending on code H0005 with only 3 total codes billed. Highly concentrated billing profile.

$1.35M
Total Medicaid Paid
20,219
Total Claims
3,042
Beneficiaries
3
Codes Billed
2018-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCGEE, RENEE (MANAGER)
Parent OrganizationGATEWAY FOUNDATION, INC.
NPI Enumeration Date03/29/2018

Related Entities

Other providers sharing the same authorized official: MCGEE, RENEE

ProviderCityStateTotal Paid
GATEWAY FOUNDATION, INC. JACKSONVILLE IL $3.35M
GATEWAY FOUNDATION, INC. CARBONDALE IL $3.12M
GATEWAY FOUNDATION, INC. SPRINGFIELD IL $1.32M
GATEWAY FOUNDATION, INC. LAKE VILLA IL $452K
GATEWAY FOUNDATION, INC. DOWNERS GROVE IL $43K
GATEWAY FOUNDATION, INC. JACKSONVILLE IL $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 453 $29K
2019 4,046 $243K
2020 4,652 $250K
2021 4,966 $272K
2022 3,080 $224K
2023 885 $93K
2024 2,137 $235K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0005 Alcohol and/or drug services; group counseling by a clinician 19,515 2,531 $1.27M
H0002 Behavioral health screening to determine eligibility for admission to treatment program 591 441 $69K
H0004 Behavioral health counseling and therapy, per 15 minutes 113 70 $3K