Gateway Healthcare INC

Day Training, Developmentally Disabled Services·Pawtucket, RI·NPI: 1821078932Share

Compared to Day Training, Developmentally Disabled Services Peers

Total spending distribution among 56 providers in this specialty

P25MedianP75P90

This provider's total spending of $122.9M is at the 50th percentile among 56 Day Training, Developmentally Disabled Services providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$122.9M

$122,933,601

Total Claims

795K

Beneficiaries

327K

2.4 claims/patient

Avg Cost/Claim

$155

#970 of 618K providers by total spending(top 0.2%)

🔍 Analysis

Provider Overview

Gateway Healthcare INC is a Day Training, Developmentally Disabled Services provider based in Pawtucket, RI. From the 2018–2024 period, this provider received $122.9M in Medicaid payments across 795K claims.

Why This Matters

This provider received $122.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 15,366 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 1% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018

$13.9M

+42%

2019

$19.9M

-10%

2020

$17.8M

+10%

2021

$19.6M

+3%

2022

$20.2M

-12%

2023

$17.7M

-22%

2024

$13.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H0037 (Community psychiatric supportive treatment program, per diem)) accounts for 40% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H0037Community psychiatric supportive treatment program, per diemSee all providers →

$49.4M

126K claims

$391.35

$225.50

1.7×

Normal range

H0037Normal range

Community psychiatric supportive treatment program, per diem

$49.4M

126K claims · 40.2%

Your Cost: $391.35/claim|Median: $225.50

1.7× median

H0019Behavioral health; residential, per diemSee all providers →

$33.3M

246K claims

$135.44

$357.16

0.4×

Normal range

H0019Normal range

Behavioral health; residential, per diem

$33.3M

246K claims · 27.1%

Your Cost: $135.44/claim|Median: $357.16

0.4× median

H0040Assertive community treatment, face-to-face, per 15 minutesSee all providers →

$31.8M

26K claims

$1,217.08

$266.41

4.6×

Normal range

H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$31.8M

26K claims · 25.8%

Your Cost: $1,217.08/claim|Median: $266.41

4.6× median

H0036Community psychiatric supportive treatment, per 15 minSee all providers →

$4.2M

233K claims

$18.10

$76.05

0.2×

Normal range

H0036Normal range

Community psychiatric supportive treatment, per 15 min

$4.2M

233K claims · 3.4%

Your Cost: $18.10/claim|Median: $76.05

0.2× median

H2023Supported employment, per 15 minSee all providers →

$1.8M

23K claims

$75.17

$103.94

0.7×

Normal range

H2023Normal range

Supported employment, per 15 min

$1.8M

23K claims · 1.4%

Your Cost: $75.17/claim|Median: $103.94

0.7× median

S9485Crisis intervention mental health services, per diemSee all providers →

$675K

3K claims

$223.04

$501.33

0.4×

Normal range

S9485Normal range

Crisis intervention mental health services, per diem

$675K

3K claims · 0.5%

Your Cost: $223.04/claim|Median: $501.33

0.4× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$660K

17K claims

$39.65

$53.41

0.7×

Normal range

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$660K

17K claims · 0.5%

Your Cost: $39.65/claim|Median: $53.41

0.7× median

90834Psychotherapy, 45 minutesSee all providers →

$569K

12K claims

$47.13

$63.65

0.7×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$569K

12K claims · 0.5%

Your Cost: $47.13/claim|Median: $63.65

0.7× median

H2011Crisis intervention service, per 15 minutesSee all providers →

$171K

4K claims

$45.46

$215.80

0.2×

Normal range

H2011Normal range

Crisis intervention service, per 15 minutes

$171K

4K claims · 0.1%

Your Cost: $45.46/claim|Median: $215.80

0.2× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$113K

3K claims

$32.52

$37.81

0.9×

Normal range

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$113K

3K claims · 0.1%

Your Cost: $32.52/claim|Median: $37.81

0.9× median

90847Family psychotherapy with patient, 50 minSee all providers →

$79K

882 claims

$89.18

$77.33

1.1×

Normal range

90847Normal range

Family psychotherapy with patient, 50 min

$79K

882 claims · 0.1%

Your Cost: $89.18/claim|Median: $77.33

1.1× median

90791Psychiatric diagnostic evaluationSee all providers →

$74K

1K claims

$64.39

$99.21

0.7×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$74K

1K claims · 0.1%

Your Cost: $64.39/claim|Median: $99.21

0.7× median

90833Psychotherapy, 30 min, add-on to E/M serviceSee all providers →

$38K

1K claims

$29.06

$38.83

0.8×

Normal range

90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$38K

1K claims · 0.0%

Your Cost: $29.06/claim|Median: $38.83

0.8× median

90837Psychotherapy, 60 minutesSee all providers →

$27K

2K claims

$11.31

$85.66

0.1×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$27K

2K claims · 0.0%

Your Cost: $11.31/claim|Median: $85.66

0.1× median

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

$17K

96 claims

$176.87

$74.63

2.4×

Top 10%

H0004Top 10%

Behavioral health counseling & therapy, per 15 min

$17K

96 claims · 0.0%

Your Cost: $176.87/claim|Median: $74.63

2.4× median

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

$12K

45 claims

$262.74

$108.91

2.4×

Top 10%

90792Top 10%

Psychiatric diagnostic evaluation with medical services

$12K

45 claims · 0.0%

Your Cost: $262.74/claim|Median: $108.91

2.4× median

H0046Mental health services, not otherwise specifiedSee all providers →

$12K

39K claims

$0.30

$85.02

0.0×

Normal range

H0046Normal range

Mental health services, not otherwise specified

$12K

39K claims · 0.0%

Your Cost: $0.30/claim|Median: $85.02

0.0× median

90832Psychotherapy, 30 minutesSee all providers →

$11K

938 claims

$11.66

$41.28

0.3×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$11K

938 claims · 0.0%

Your Cost: $11.66/claim|Median: $41.28

0.3× median

99212Office/outpatient visit, low complexitySee all providers →

$7K

360 claims

$18.14

$25.06

0.7×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$7K

360 claims · 0.0%

Your Cost: $18.14/claim|Median: $25.06

0.7× median

T1016Case management, each 15 minSee all providers →

$5K

48K claims

$0.11

$49.62

0.0×

Normal range

T1016Normal range

Case management, each 15 min

$5K

48K claims · 0.0%

Your Cost: $0.11/claim|Median: $49.62

0.0× median

90836Psychotherapy, 45 min, add-on to E/MSee all providers →

$3K

45 claims

$70.39

$56.18

1.3×

Normal range

90836Normal range

Psychotherapy, 45 min, add-on to E/M

$3K

45 claims · 0.0%

Your Cost: $70.39/claim|Median: $56.18

1.3× median

T1027Family training and counseling, per 15 minutesSee all providers →

$2K

61 claims

$36.80

$53.00

0.7×

Normal range

T1027Normal range

Family training and counseling, per 15 minutes

$2K

61 claims · 0.0%

Your Cost: $36.80/claim|Median: $53.00

0.7× median

99211Office/outpatient visit, minimal complexitySee all providers →

$2K

424 claims

$4.37

$12.93

0.3×

Normal range

99211Normal range

Office/outpatient visit, minimal complexity

$2K

424 claims · 0.0%

Your Cost: $4.37/claim|Median: $12.93

0.3× median

H2016Comprehensive community support services, per 15 minSee all providers →

$1K

377 claims

$3.66

$321.53

0.0×

Normal range

H2016Normal range

Comprehensive community support services, per 15 min

$1K

377 claims · 0.0%

Your Cost: $3.66/claim|Median: $321.53

0.0× median

99442Telephone E/M by physician, 11-20 minutesSee all providers →

$258

65 claims

$3.96

$22.44

0.2×

Normal range

99442Normal range

Telephone E/M by physician, 11-20 minutes

$258

65 claims · 0.0%

Your Cost: $3.96/claim|Median: $22.44

0.2× median

96372Therapeutic injection, subcutaneous/intramuscularSee all providers →

$179

465 claims

$0.39

$9.56

0.0×

Normal range

96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$179

465 claims · 0.0%

Your Cost: $0.39/claim|Median: $9.56

0.0× median

J2426 See all providers →

239 claims

$0.00

$625.59

0.0×

Normal range

J2426Normal range

239 claims · 0.0%

Your Cost: $0.00/claim|Median: $625.59

0.0× median

99441Telephone E/M by physician, 5-10 minSee all providers →

127 claims

$0.00

$13.30

—

Normal range

99441Normal range

Telephone E/M by physician, 5-10 min

127 claims · 0.0%

Your Cost: $0.00/claim|Median: $13.30

H0038Self-help/peer services, per 15 minutesSee all providers →

4K claims

$0.00

$55.04

—

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

4K claims · 0.0%

Your Cost: $0.00/claim|Median: $55.04

99443Telephone E/M by physician, 21-30 minSee all providers →

420 claims

$0.00

$32.55

—

Normal range

99443Normal range

Telephone E/M by physician, 21-30 min

420 claims · 0.0%

Your Cost: $0.00/claim|Median: $32.55

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