Gateway District Health Department
Gateway District Health Department was paid $108K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 55% of everything it billed.
WEST LIBERTY, KY 41472
Next to other Public Health or Welfare Agency providers in Kentucky
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,024 | $42K | |
| 2019 | 698 | $22K | |
| 2020 | 273 | $9K | |
| 2021 | 154 | $7K | |
| 2022 | 80 | $3K | |
| 2023 | 300 | $9K | |
| 2024incomplete | 795 | $17K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 55% | 1,796 | 1,749 | $59K |
| 90461 | 28% | 488 | 479 | $30K | |
| 90632 | 2.8% | 50 | 48 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.0% | 102 | 95 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.8% | 32 | 32 | $2K |
| D0191 | 1.8% | 117 | 83 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.5% | 35 | 27 | $2K |
| D1206 | Topical application of fluoride varnish | 1.5% | 124 | 87 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 36 | 28 | $1K |
| 90633 | <1% | 709 | 700 | $1K | |
| 90734 | <1% | 200 | 200 | $983.70 | |
| 90686 | <1% | 184 | 182 | $971.01 |
9 more codes
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Rowan Co Middle School | Morehead, KY | $504K |
| Morgan Co Middle School | West Liberty, KY | $474K |
| Clearfield Elementary | Clearfield, KY | $453K |
| Morgan Central Elementary | West Liberty, KY | $398K |
| MC Brayer Elementary | Morehead, KY | $371K |
| Menifee Co Elementary | Frenchburg, KY | $357K |
| Owingsville Elementary | Owingsville, KY | $348K |
| Rodburn Elementary | Morehead, KY | $334K |
| West Liberty Elementary | West Liberty, KY | $326K |
| Morgan Co High School | West Liberty, KY | $308K |
| Crossroads Elementary Health Unit | Owingsville, KY | $271K |
| Rowan County High School | Morehead, KY | $253K |
| Bath County High School | Owingsville, KY | $244K |
| Menifee Co High Middle School | Frenchburg, KY | $237K |
| Tildon Hogge Elementary | Morehead, KY | $237K |
| East Valley Elementary | West Liberty, KY | $228K |
| Ezel Elementary | Ezel, KY | $214K |
| Bath County Middle School | Owingsville, KY | $189K |
| Gateway District Health Department | Morehead, KY | $188K |
| Botts Elementary | Denniston, KY | $118K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.