Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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GATEWAY HOUSE, INC

NPI: 1932422078 · GREENVILLE, SC 29609 · Community/Behavioral Health Agency · NPI assigned 03/03/2010

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

90% of spending on code H2030 with only 2 total codes billed. Highly concentrated billing profile.

$7.23M
Total Medicaid Paid
116,410
Total Claims
7,791
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialREDLINGER, RANDY (EXECUTIVE DIRECTOR)
NPI Enumeration Date03/03/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,080 $1.21M
2019 17,690 $1.27M
2020 13,381 $765K
2021 18,156 $995K
2022 17,305 $1.02M
2023 17,434 $1.09M
2024 15,364 $874K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2030 Mental health clubhouse services, per 15 minutes 79,305 5,201 $6.54M
H2017 Psychosocial rehabilitation services, per 15 minutes 37,105 2,590 $690K