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
Provider Details
| Authorized Official | MCGEE, RENEE (MANAGER) |
| Parent Organization | GATEWAY FOUNDATION, INC. |
| NPI Enumeration Date | 03/29/2018 |
Related Entities
Other providers sharing the same authorized official: MCGEE, RENEE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total 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 |