Clinic
Gateway Healthcare, PC
Gateway Healthcare, PC was paid $3.92M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoGATEWAY HEALTHCARE, PC
MURFREESBORO, TN 37129
MURFREESBORO, TN 37129
33aNPI1770035214assigned 11/01/2016
33bProvider typeUrgent Care Clinic/Center
28Total paid$3.92M
24GClaims131,826
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Tennessee
Rank by total paid#3 of 38
Median peer was paid$345K
This provider vs. median11×
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 | 3,393 | $127K | |
| 2019 | 10,057 | $241K | |
| 2020 | 12,216 | $248K | |
| 2021 | 23,180 | $617K | |
| 2022 | 24,337 | $842K | |
| 2023 | 31,991 | $995K | |
| 2024incomplete | 26,652 | $851K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 33% | 21,701 | 19,621 | $1.28M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 18,063 | 16,518 | $726K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 13% | 5,691 | 5,176 | $521K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 9.5% | 12,335 | 11,186 | $373K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.1% | 5,730 | 5,283 | $356K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.6% | 18,439 | 8,547 | $181K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.0% | 1,563 | 1,409 | $119K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.7% | 7,355 | 5,522 | $107K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.2% | 2,426 | 2,188 | $88K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 9,727 | 9,059 | $79K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,228 | 1,976 | $32K |
| 99205 | Prolong outpt/office vis | <1% | 234 | 202 | $24K |
19 more codes
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 112 | $13K |
| 81003 | <1% | 5,213 | $7K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 840 | $4K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 155 | $2K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,360 | $1K |
| 3008F | <1% | 11,741 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 844 | $1K |
| 81025 | <1% | 274 | $1K | |
| 73130 | <1% | 57 | $866.62 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 2,639 | $756.72 |
| 87807 | <1% | 93 | $725.80 | |
| 93000 | <1% | 42 | $619.34 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 922 | $396.90 |
| 73620 | <1% | 32 | $391.26 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 536 | $225.57 |
| 73562 | <1% | 12 | $224.15 | |
| 81001 | <1% | 74 | $101.04 | |
| 99000 | <1% | 1,352 | $11.92 | |
| 99072 | 0% | 36 | $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 officialWEATHERSBY, JOSEPH (OWNER/PROVIDER)
| Provider | Location | Paid |
|---|---|---|
| Gateway Primary Care LLC | Murfreesboro, TN | $60K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.