Behavioral
Gateway to Success, PC
Gateway to Success, PC was paid $1.40M by Medicaid between May 2019 and Nov 2024, across 17 billing codes. Its largest line is H0005, Alcohol and/or drug services; group counseling by a clinician — 25% of everything it billed.
33Billing provider infoGATEWAY TO SUCCESS, PC
PUEBLO, CO 81005
PUEBLO, CO 81005
33aNPI1922348481assigned 02/21/2013
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$1.40M
24GClaims39,881
24DCodes billed17
24AFirst – last monthMay 2019 – Nov 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Colorado
Rank by total paid#9 of 169
Median peer was paid$49K
This provider vs. median29×
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 | |
|---|---|---|---|
| 2019 | 2,163 | $98K | |
| 2020 | 10,058 | $317K | |
| 2021 | 13,250 | $398K | |
| 2022 | 9,086 | $292K | |
| 2023 | 3,471 | $85K | |
| 2024incomplete | 1,853 | $209K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 25% | 11,850 | 3,959 | $352K |
| H2014 | Skills training and development, per 15 minutes | 15% | 1,760 | 806 | $204K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 11% | 3,658 | 2,313 | $156K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 11% | 1,803 | 1,630 | $156K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 10% | 13,055 | 4,726 | $143K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 9.7% | 1,799 | 1,046 | $135K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.9% | 1,625 | 1,010 | $96K |
| H0032 | Mental health service plan development by non-physician | 4.8% | 2,081 | 1,856 | $67K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2.1% | 848 | 379 | $29K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.4% | 135 | 122 | $19K |
| H0001 | Alcohol and/or drug assessment | 1.2% | 194 | 183 | $17K |
| 99368 | <1% | 441 | 399 | $13K |
5 more codes
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 239 | $5K |
| H0006 | Alcohol and/or drug services; case management | <1% | 147 | $4K |
| T1017 | Case management, billed per 15 minutes | <1% | 71 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 162 | $541.48 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $3.75 |
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 officialMORGENTHALER, KAREN (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Gateway to Success, PC | Pueblo, CO | $906K |
| Gateway to Success, PC | Colorado Springs, CO | $450K |
| Gateway to Success, PC | Colorado Springs, CO | $332K |
| Gateway to Success, PC | Canon City, CO | $270K |
| Gateway to Success, PC | Canon City, CO | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.