Clinic
Gateway Community Health Center, INC
Gateway Community Health Center, INC was paid $133K by Medicaid between Jan 2020 and Oct 2024, across 21 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 52% of everything it billed.
33Billing provider infoGATEWAY COMMUNITY HEALTH CENTER, INC
LAREDO, TX 78041
LAREDO, TX 78041
33aNPI1720192792assigned 08/18/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$133K
24GClaims3,926
24DCodes billed21
24AFirst – last monthJan 2020 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#198 of 248
Median peer was paid$796K
This provider vs. median0.2×
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 | 296 | $24K | |
| 2021 | 1,888 | $73K | |
| 2022 | 212 | $12K | |
| 2023 | 507 | $14K | |
| 2024incomplete | 1,023 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 52% | 550 | 430 | $70K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 43% | 1,205 | 1,108 | $57K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 481 | 457 | $4K |
| 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 | <1% | 226 | 226 | $1K |
| 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 | <1% | 59 | 55 | $147.49 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 368 | 141 | $121.00 |
| 0071A | <1% | 21 | 19 | $120.00 | |
| D1110 | Prophylaxis - adult | <1% | 88 | 80 | $112.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 150 | 128 | $104.00 |
| 0001A | <1% | 17 | 17 | $80.00 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 167 | 147 | $56.00 |
| 0002A | <1% | 15 | 14 | $40.00 |
9 more codes
| D1206 | Topical application of fluoride varnish | <1% | 158 | $36.00 |
| D0274 | Bitewings - four radiographic images | <1% | 27 | $36.00 |
| D0602 | 0% | 177 | $0.00 | |
| 91307 | 0% | 44 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 61 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 15 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 18 | $0.00 |
| 91300 | 0% | 63 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 16 | $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 (COO)
| 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. | Zapata, TX | $352K |
| Gateway Community Health Center, INC. | Hebbronville, TX | $200K |
| Gateway Community Health Center, INC | Laredo, TX | $144K |
| 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.