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GATEWAY COMMUNITY SERVICES, LLC

Community/Behavioral Health·PORTLAND, ME·NPI: 1083082630Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $30.1M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$30.1M

$30,134,261

Total Claims

245K

Beneficiaries

62K

3.9 claims/patient

Avg Cost/Claim

$123

Monthly Spending Trend

Yearly Spending

2018
$2.8M
+45%
2019
$4.1M
+22%
2020
$5.0M
+5%
2021
$5.3M
-12%
2022
$4.6M
-7%
2023
$4.3M
-6%
2024
$4.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 33% of total spending.

H2015Normal range

Comprehensive community support services, per 15 min

$9.8M

77K claims · 32.7%

Your Cost: $127.59/claim|Median: $96.24
1.3× median
T1013Top 5%

Sign language or oral interpretive services, per 15 minutes

$5.3M

53K claims · 17.6%

Your Cost: $100.96/claim|Median: $17.67
5.7× median
T1017Normal range

Targeted case management, per 15 min

$4.8M

41K claims · 15.8%

Your Cost: $115.01/claim|Median: $69.56
1.7× median
T1019Normal range

Personal care services, per 15 min

$4.2M

38K claims · 14.0%

Your Cost: $112.59/claim|Median: $82.47
1.4× median
H2021Normal range

Community-based wrap-around services, per 15 min

$3.4M

16K claims · 11.4%

Your Cost: $215.15/claim|Median: $169.11
1.3× median
H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$2.4M

19K claims · 8.1%

Your Cost: $127.66/claim|Median: $74.63
1.7× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$127K

1,039 claims · 0.4%

Your Cost: $122.30/claim|Median: $114.71
1.1× median