Gateway House, INC

Gateway House, INC was paid $7.23M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is H2030, Mental health clubhouse services, per 15 minutes — 90% of everything it billed.

33Billing provider infoGATEWAY HOUSE, INC
GREENVILLE, SC 29609

33aNPI1932422078assigned 03/03/2010

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$7.23M

24GClaims116,410

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Community/Behavioral Health Agency providers in South Carolina

Rank by total paid#6 of 79

Median peer was paid$526K

This provider vs. median14×

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.

Single-Code Concentration90% of spending on code H2030 with only 2 total codes billed. Highly concentrated billing profile.

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	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
2024incomplete	15,364	$874K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2030	Mental health clubhouse services, per 15 minutes	90%	79,305	5,201	$6.54M
H2017	Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes	9.5%	37,105	2,590	$690K

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 officialREDLINGER, RANDY (EXECUTIVE DIRECTOR)