Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › RI › Pawtucket › NPI 1952699985
Agency

Gateway Healthcare, INC

Gateway Healthcare, INC was paid $1.89M by Medicaid between Jan 2018 and Aug 2022, across 1 billing code. Its largest line is H0019, Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem — 100% of everything it billed.

33Billing provider infoGATEWAY HEALTHCARE, INC
PAWTUCKET, RI 02860
33aNPI1952699985assigned 07/12/2011
28Total paid$1.89M
24GClaims13,825
24DCodes billed1
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers

Next to other Developmentally Disabled Services Day Training Agency providers in Rhode Island

Rank by total paid#32 of 34
Median peer was paid$22.59M
This provider vs. median0.1×

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 Concentration100% of spending on code H0019 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20181,559$206K
20191,150$165K
20203,420$462K
20214,404$601K
20223,292$457K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 100% 13,825 508 $1.89M

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 officialGROVER, PATTY (MANAGER OF RECEIVABLES)