Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Pennsylvania (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Gateway Rehabilitation Center (NPI 1124485149)

Field	Value
Entity Type	Organization
Organization	Gateway Rehabilitation Center
Address	508 S Church St
City	Mt Pleasant
State	PA
ZIP	15666
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	January 21, 2016

Payer Source	Total Paid
Medicaid	$43.3M
Medicare	$0

Key Findings

GATEWAY REHABILITATION CENTER shows no Medicare billing on file and is effectively a single-payer Medicaid provider, with total Medicaid revenue of $43.3M reported. The absence of any Medicare revenue highlights a concentrated payer mix where Medicaid is the sole material revenue source on file for this NPI.

Revenue is highly concentrated in a very narrow set of services: the precomputed top three Medicaid codes account for 100.0% of the provider's Medicaid revenue. H2036 alone represents $38.5M of that $43.3M total (88.9% of Medicaid revenue), with H0018 accounting for $3.5M (8.0%) and H0013 $1.3M (3.1%).

The code mix and descriptions point to a core operational focus on residential substance-use treatment delivered on a per-diem basis. H2036 (Alcohol and/or other drug treatment program, per diem) is the dominant revenue driver, supplemented by short-term residential services billed to H0018 and acute detoxification services billed to H0013, indicating a facility model organized around multi-day inpatient/residential care rather than outpatient or procedure-based services.

H2036 shows exceptionally high utilization at this provider: 112.5K claims with an average paid/claim of $342, producing $38.5M in revenue. That claim volume and per-diem payment pattern are consistent with a high-throughput residential treatment operation where per-day billing drives cash flow.

On statewide competitive standing for the dominant service, GATEWAY ranks #5 of 117 providers for H2036 and sits in the 97th percentile, a placement described as notably above typical state volume; this indicates the provider is one of the largest in-state participants for per‑diem substance-use residential treatment. In contrast, its positions on the secondary codes are more modest: H0018 ranks #22 of 95 (78th percentile) and H0013 ranks #22 of 61 (65th percentile), each characterized as typical, unremarkable volume for those services.

The NPI was enumerated on 2016-01-21 (~10 years ago), which suggests the provider has had about a decade to develop Medicaid relationships and scale its residential treatment capacity reflected in the high H2036 volume. This tenure aligns with the facility-level footprint implied by the large per-diem claim counts.

The extreme revenue concentration in a single Medicaid code and exclusive reliance on Medicaid present operational and reimbursement risk: because H2036 drives 88.9% of Medicaid revenue and Medicaid is the only payer on file, changes to Medicaid rates, utilization management, or coverage policy for per-diem residential substance-use treatment could materially impact the provider's total revenue. Diversification across additional payers or service lines appears limited based on the billing mix on file.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	112,460	$340	$38.5M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	13,050	$270	$3.5M
H0013	Alcohol and/or drug services: acute detox (residential addiction program outpatient)	3,370	$400	$1.3M

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

Claims Volume vs. Pennsylvania Distribution

Gateway Rehabilitation Center — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	5	120	7,190	$420	$8.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	22	100	5,130	$370	$4.5M
H0013	Alcohol and/or drug services: acute detox (residential addiction program outpatient)	22	60	2,400	$450	$2.6M

Related Providers

Other providers that share a Tax Identification Number (TIN) with Gateway Rehabilitation Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gateway Rehabilitation Center	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$36.2M
Phoenix-washington, Inc. - Tdba Greenbriar Treatment Center	PA	Substance Abuse Rehabilitation Facility	$0	$17.4M
Gateway Rehabilitation Center	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$14.6M

Nearby Providers

Other providers in the same ZIP code as Gateway Rehabilitation Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frick Hospital	PA	General Acute Care Hospital	$0	$5.6M
Andrew Schleihauf	PA	Sports Medicine (Family Medicine) Physician	$88.4K	$79.1K
Howard Brumberg	PA	Cardiovascular Disease Physician	$98.4K	$61.4K
Chandrasekhara. Punukollu	PA	Gastroenterology Physician	$59K	$21.6K
Lisa Vittone	PA	Registered Nurse	$3.4K	$0

Gateway Rehabilitation Center — Billing Profile & Reimbursement Data

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Gateway Rehabilitation Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References