GATEWAY HEALTHCARE, INC
NPI: 1952699985
· PAWTUCKET, RI 02860
· Developmentally Disabled Services Day Training Agency
· NPI assigned 07/12/2011
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H0019 with only 1 total codes billed. Highly concentrated billing profile.
$1.89M
Total Medicaid Paid
Provider Details
| Authorized Official | GROVER, PATTY (MANAGER OF RECEIVABLES) |
| NPI Enumeration Date | 07/12/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,559 |
$206K |
| 2019 |
1,150 |
$165K |
| 2020 |
3,420 |
$462K |
| 2021 |
4,404 |
$601K |
| 2022 |
3,292 |
$457K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
13,825 |
508 |
$1.89M |