Physician
Gateway Comprehensive Medical Group
Gateway Comprehensive Medical Group was paid $29K by Medicaid between Jan 2018 and Nov 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoGATEWAY COMPREHENSIVE MEDICAL GROUP
SAN DIEGO, CA 92102
SAN DIEGO, CA 92102
33aNPI1831490184assigned 11/03/2010
33bProvider typeGeneral Practice Physician
28Total paid$29K
24GClaims67,366
24DCodes billed51
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in California
Rank by total paid#172 of 474
Median peer was paid$10K
This provider vs. median2.8×
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 | 11,201 | $5K | |
| 2019 | 11,191 | $9K | |
| 2020 | 4,650 | $3K | |
| 2021 | 5,982 | $2K | |
| 2022 | 9,227 | $5K | |
| 2023 | 14,042 | $5K | |
| 2024incomplete | 11,073 | $761.05 |
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 | 28% | 6,872 | 6,291 | $8K |
| 97802 | 18% | 6,235 | 6,110 | $5K | |
| 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 | 16% | 5,682 | 5,302 | $5K |
| 99385 | 10% | 640 | 640 | $3K | |
| 96156 | 5.8% | 1,372 | 1,369 | $2K | |
| 90651 | 5.8% | 92 | 92 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.0% | 980 | 976 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 509 | 498 | $631.40 |
| 99383 | 1.4% | 14 | 14 | $393.84 | |
| 99442 | 1.3% | 8,362 | 7,493 | $384.80 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 354 | 352 | $346.23 |
| 92552 | 1.2% | 790 | 781 | $330.57 |
39 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,227 | $194.75 |
| 99386 | <1% | 252 | $185.25 | |
| 99443 | <1% | 1,542 | $180.97 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 681 | $143.47 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 14 | $116.02 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 58 | $105.00 |
| 96127 | <1% | 857 | $68.98 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 25 | $68.21 |
| 90658 | <1% | 228 | $62.69 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 628 | $30.00 |
| 99401 | <1% | 1,305 | $21.00 | |
| 1159F | <1% | 5,301 | $13.50 | |
| 92551 | <1% | 227 | $11.02 | |
| 96160 | <1% | 2,113 | $10.74 | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 1,583 | $10.50 |
| 3077F | 0% | 791 | $0.00 | |
| 1158F | 0% | 320 | $0.00 | |
| 3078F | 0% | 2,591 | $0.00 | |
| 99173 | 0% | 1,579 | $0.00 | |
| 1160F | 0% | 4,056 | $0.00 | |
| 90715 | 0% | 52 | $0.00 | |
| 90734 | 0% | 63 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 26 | $0.00 |
| 98966 | 0% | 26 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 14 | $0.00 |
| 99408 | 0% | 23 | $0.00 | |
| 3008F | 0% | 3,433 | $0.00 | |
| 3074F | 0% | 2,650 | $0.00 | |
| 3075F | 0% | 405 | $0.00 | |
| 3079F | 0% | 902 | $0.00 | |
| 1126F | 0% | 294 | $0.00 | |
| 81000 | 0% | 291 | $0.00 | |
| 3080F | 0% | 306 | $0.00 | |
| 1125F | 0% | 433 | $0.00 | |
| 1170F | 0% | 145 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 926 | $0.00 |
| 99384 | 0% | 40 | $0.00 | |
| 1157F | 0% | 45 | $0.00 | |
| 1111F | 0% | 12 | $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 officialHASSANEIN, TAREK (DIRECTOR)
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