Behavioral
Gateway Family Health Clinic, LTD.
Gateway Family Health Clinic, LTD. was paid $2.34M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoGATEWAY FAMILY HEALTH CLINIC, LTD.
SANDSTONE, MN 55072
SANDSTONE, MN 55072
33aNPI1790772259assigned 09/30/2005
33bProvider typeMarriage & Family Therapist
28Total paid$2.34M
24GClaims57,309
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Marriage & Family Therapist providers in Minnesota
Rank by total paid#4 of 114
Median peer was paid$60K
This provider vs. median39×
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 | 7,794 | $316K | |
| 2019 | 10,421 | $314K | |
| 2020 | 7,398 | $283K | |
| 2021 | 11,630 | $411K | |
| 2022 | 7,921 | $361K | |
| 2023 | 6,696 | $355K | |
| 2024incomplete | 5,449 | $304K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 56% | 19,633 | 15,451 | $1.31M |
| 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 | 34% | 11,227 | 8,247 | $797K |
| X5622 | 4.3% | 929 | 832 | $102K | |
| 99441 | 4.0% | 1,369 | 1,314 | $93K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 286 | 269 | $15K |
| 99442 | <1% | 214 | 205 | $14K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 7,235 | 5,647 | $6K |
| 80053 | Comprehensive metabolic panel | <1% | 1,287 | 1,016 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 166 | 139 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 484 | 410 | $1K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 356 | 339 | $893.81 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 427 | 364 | $610.98 |
20 more codes
| 82607 | <1% | 53 | $305.57 | |
| 80061 | Lipid panel | <1% | 71 | $274.67 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,459 | $266.77 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 370 | $234.18 |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 1,813 | $228.30 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,767 | $227.07 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 638 | $147.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 48 | $134.31 |
| 96127 | <1% | 2,555 | $112.31 | |
| 85027 | <1% | 72 | $71.17 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 703 | $65.43 |
| 92551 | <1% | 589 | $44.49 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 95 | $38.73 |
| 81001 | <1% | 233 | $36.49 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 566 | $21.01 |
| 90686 | <1% | 606 | $19.31 | |
| 99173 | <1% | 670 | $12.98 | |
| 99188 | <1% | 334 | $0.18 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 24 | $0.00 |
| 90633 | 0% | 30 | $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 officialNIELSEN, ERIC (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Gateway Family Health Clinic, LTD. | Moose Lake, MN | $1.52M |
| Spring Dental PLLC | Tulsa, OK | $1.49M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.