GATEWAY REHABILITATION CENTER-GREENTREE
NPI: 1891796413
· PITTSBURGH, PA 15220
· Substance Use Disorder Rehabilitation Clinic/Center
· NPI assigned 08/04/2005
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code G9012 with only 3 total codes billed. Highly concentrated billing profile.
$2.45M
Total Medicaid Paid
Provider Details
| Authorized Official | TROUP, JAMES (PRESIDENT/CEO) |
| Parent Organization | GATEWAY REHABILITATION CENTER |
| NPI Enumeration Date | 08/04/2005 |
Related Entities
Other providers sharing the same authorized official: TROUP, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
442 |
$59K |
| 2021 |
2,349 |
$552K |
| 2022 |
2,381 |
$579K |
| 2023 |
2,685 |
$635K |
| 2024 |
2,544 |
$630K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9012 |
Other specified case management service not elsewhere classified |
10,117 |
9,146 |
$2.42M |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
238 |
57 |
$27K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
46 |
45 |
$4K |