Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IL › GURNEE › GATEWAY FOUNDATION INC.

GATEWAY FOUNDATION INC.

NPI: 1740725704 · GURNEE, IL 60031 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 12/30/2016

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

99% of spending on code H0005 with only 3 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official BRITTON, THOMAS controls 17+ related entities in our dataset. Read more

$1.13M
Total Medicaid Paid
15,341
Total Claims
2,127
Beneficiaries
3
Codes Billed
2018-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBRITTON, THOMAS (PRESIDENT/CEO)
Parent OrganizationGATEWAY FOUNDATION INC.
NPI Enumeration Date12/30/2016

Related Entities

Other providers sharing the same authorized official: BRITTON, THOMAS

ProviderCityStateTotal Paid
GATEWAY FOUNDATION, INC. SPRINGFIELD IL $8.36M
GATEWAY FOUNDATION, INC. SWANSEA IL $3.17M
GATEWAY FOUNDATION, INC. CHICAGO IL $2.42M
GATEWAY FOUNDATION, INC. CHICAGO IL $2.01M
GATEWAY FOUNDATION, INC CHICAGO IL $1.87M
GATEWAY FOUNDATION, INC. PEKIN IL $1.60M
GATEWAY FOUNDATION, INC. CASEYVILLE IL $404K
GATEWAY FOUNDATION INC. JOLIET IL $290K
GATEWAY FOUNDATION, INC. CHICAGO IL $126K
GATEWAY FOUNDATION INC. SPRINGFIELD IL $64K
GATEWAY FOUNDATION INC. SMYRNA DE $50K
GATEWAY FOUNDATION, INC. CARBONDALE IL $24K
CLUB VIEW VISION CENTER, INC. BUCYRUS OH $22K
GATEWAY FOUNDATION, INC SPRINGFIELD IL $11K
GATEWAY FOUNDATION INC. CHICAGO IL $6K
GATEWAY FOUNDATION INC. LAKE VILLA IL $4K
GATEWAY FOUNDATION INC. CASEYVILLE IL $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 303 $21K
2019 2,635 $178K
2020 4,634 $280K
2021 3,009 $166K
2022 1,714 $150K
2023 1,454 $161K
2024 1,592 $174K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0005 Alcohol and/or drug services; group counseling by a clinician 15,119 1,981 $1.12M
H0002 Behavioral health screening to determine eligibility for admission to treatment program 192 134 $11K
H0004 Behavioral health counseling and therapy, per 15 minutes 30 12 $2K