Gateway Foot and Ankle Center, PLC
Gateway Foot and Ankle Center, PLC was paid $271K by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoGATEWAY FOOT AND ANKLE CENTER, PLC
CLARKSVILLE, TN 37040
CLARKSVILLE, TN 37040
33aNPI1932335551assigned 06/10/2009
33bProvider typeFoot & Ankle Surgery Podiatrist
28Total paid$271K
24GClaims25,595
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Foot & Ankle Surgery Podiatrist providers in Tennessee
Rank by total paid#6 of 66
Median peer was paid$21K
This provider vs. median13×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SMITH, DAVID controls 20+ related entities in our dataset. Read more
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 | 3,027 | $33K | |
| 2019 | 4,740 | $58K | |
| 2020 | 3,990 | $41K | |
| 2021 | 3,962 | $38K | |
| 2022 | 3,886 | $37K | |
| 2023 | 4,158 | $47K | |
| 2024incomplete | 1,832 | $19K |
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% | 5,176 | 3,107 | $75K |
| 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 | 23% | 3,173 | 1,977 | $61K |
| 11721 | 10% | 3,521 | 2,336 | $28K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 9.1% | 526 | 404 | $25K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.3% | 584 | 406 | $20K |
| 73630 | 6.3% | 1,746 | 909 | $17K | |
| 11720 | 4.0% | 2,280 | 1,350 | $11K | |
| G0127 | Trimming of dystrophic nails, any number | 3.9% | 5,110 | 3,178 | $11K |
| 11056 | 3.3% | 1,196 | 752 | $9K | |
| 29581 | 2.6% | 521 | 132 | $7K | |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | 1.1% | 117 | 51 | $3K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 86 | 27 | $1K |
11 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 115 | $1K |
| 0598T | <1% | 40 | $872.74 | |
| A6452 | High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard | <1% | 198 | $512.03 |
| 97750 | <1% | 114 | $424.02 | |
| 93923 | <1% | 18 | $264.86 | |
| A6441 | Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard | <1% | 236 | $82.97 |
| 3288F | 0% | 114 | $0.00 | |
| 1100F | 0% | 114 | $0.00 | |
| A6196 | Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing | 0% | 31 | $0.00 |
| 0518F | 0% | 115 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 464 | $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 officialSMITH, DAVID (COOWNER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.