Physician
Gateway Midwest Healthcare
Gateway Midwest Healthcare was paid $2.82M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoGATEWAY MIDWEST HEALTHCARE
SAINT LOUIS, MO 63117
SAINT LOUIS, MO 63117
33aNPI1811368244assigned 10/12/2015
33bProvider typePsychiatry Physician
28Total paid$2.82M
24GClaims79,119
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychiatry Physician providers in Missouri
Rank by total paid#3 of 199
Median peer was paid$20K
This provider vs. median138×
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 | 4,143 | $57K | |
| 2019 | 1,176 | $21K | |
| 2020 | 7,024 | $264K | |
| 2021 | 17,927 | $596K | |
| 2022 | 15,569 | $580K | |
| 2023 | 16,314 | $674K | |
| 2024incomplete | 16,966 | $625K |
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 | 46% | 30,942 | 16,293 | $1.30M |
| 64483 | 8.8% | 1,912 | 1,647 | $247K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 7.7% | 9,849 | 6,023 | $218K |
| 27096 | 7.2% | 2,213 | 1,920 | $204K | |
| 64450 | 4.2% | 3,323 | 2,242 | $119K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.2% | 4,609 | 3,655 | $118K |
| 64484 | 4.0% | 1,809 | 1,578 | $113K | |
| 64493 | 3.4% | 1,311 | 1,133 | $97K | |
| 20610 | 1.9% | 1,795 | 1,296 | $52K | |
| 64494 | 1.6% | 1,224 | 1,078 | $46K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 1.5% | 636 | 69 | $41K |
| 20553 | 1.4% | 1,650 | 1,084 | $39K |
42 more codes
| 62321 | 1.2% | 786 | $33K | |
| 76882 | 1.1% | 1,643 | $30K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 615 | $22K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 230 | $19K |
| 20551 | <1% | 751 | $18K | |
| 64490 | <1% | 512 | $12K | |
| 20552 | <1% | 369 | $9K | |
| G3002 | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) | <1% | 180 | $8K |
| 20611 | <1% | 135 | $6K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 329 | $6K |
| 64491 | <1% | 476 | $6K | |
| 64495 | <1% | 174 | $6K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 58 | $5K |
| 90837 | Psychotherapy session, about an hour | <1% | 273 | $5K |
| 99335 | <1% | 156 | $5K | |
| 95923 | <1% | 98 | $4K | |
| 99334 | <1% | 166 | $4K | |
| 77003 | <1% | 80 | $3K | |
| 95921 | <1% | 94 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 159 | $3K |
| 95911 | <1% | 22 | $3K | |
| 27093 | <1% | 17 | $2K | |
| 99348 | <1% | 49 | $2K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 52 | $2K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 552 | $2K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 1,069 | $2K |
| 95886 | <1% | 32 | $1K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 74 | $1K |
| 93923 | <1% | 114 | $1K | |
| J3490 | Unclassified drugs | <1% | 2,525 | $1K |
| 92546 | <1% | 57 | $598.28 | |
| 92540 | <1% | 59 | $594.38 | |
| 64492 | <1% | 96 | $485.76 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 32 | $442.52 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 47 | $424.26 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 3,496 | $218.31 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 46 | $170.49 |
| 92547 | <1% | 40 | $138.32 | |
| 96127 | <1% | 1,552 | $96.83 | |
| 90785 | <1% | 211 | $85.89 | |
| 99406 | <1% | 381 | $8.31 | |
| 99401 | 0% | 39 | $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 officialWAHEED, AFFAN (MEMBER)