Gateways Community Services
Early Intervention Provider Agency
Nashua, New Hampshire
NPI: 1700947298
Risk Tier
High
Total Paid
$286.0M
$285,983,084
Total Claims
1.2M
Beneficiaries
164K
Avg Cost/Claim
$248.52
Active billing period: 83 months (2018-01 to 2024-11)
Statistical Fraud Flags (2)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $1,239.64 per claim for T2025 (Waiver services, NOS; per 15 min), which is 10.0× the national median of $124.39.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 3 procedure codes: T2025 at 10.0× median, T2002 at 9.3× median.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024