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 Montana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Montana 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. Montana (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 Community Services (NPI 1184736324)

Field	Value
Entity Type	Organization
Organization	Gateway Community Services
Address	26 4th St N
City	Great Falls
State	MT
ZIP	59401
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	9,470	$100	$947.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	5,250	$90	$445.9K
H0038	Self‑help/peer services, per 15 minutes	3,140	$50	$154K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	7,350	$20	$124.9K
H2035	Alcohol and/or other drug treatment program, per hour	1,780	$60	$112K
H2036	Alcohol and/or other drug treatment program, per diem	1,120	$70	$82.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	540	$80	$43.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	610	$60	$37.6K
H0001	Alcohol and/or drug assessment	60	$140	$8.1K
T1016	Case management, each 15 minutes	500	$10	$5.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Montana Distribution

Gateway Community Services — 1 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. Montana median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	44	50	2,720	$50	$1.4M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	4	20	1,510	$170	$848K
H0038	Self‑help/peer services, per 15 minutes	12	40	1,050	$50	$171.5K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	86	1,200	750	$80	$143.2K
H2036	Alcohol and/or other drug treatment program, per diem	3	10	260	$90	$74.5K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	14	110	1,250	$10	$50.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	47	190	60	$70	$36.9K
H2035	Alcohol and/or other drug treatment program, per hour	2	20	370	$50	$31.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	1	20	200	$40	$11K
H0001	Alcohol and/or drug assessment	2	20	30	$230	$7.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Center For Mental Health	MT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$55.2M
Bottom Line Incontinence Supply Inc	MT	Durable Medical Equipment & Medical Supplies	$0	$5.6M
Rainbow Assited Living	MT	Assisted Living Facility	$0	$5.1M
Ideal Option, PLLC	MT	Addiction Medicine (Family Medicine) Physician	$0	$3.3M
Seeking Recovery LLC	MT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$1.4M
Rocky Front Counseling Services, LLC	MT	Mental Health Counselor	$0	$1.3M
Enlightening Minds, LLC	MT	Mental Health Counselor	$0	$1M
Rainbow Senior Living	MT	Assisted Living Facility	$0	$993.5K
Eye Clinic Of Great Falls, P.C.	MT	Optometrist	$0	$708.2K
Adlera Laboratory LLC	MT	Clinical Medical Laboratory	$37.8K	$635K

Gateway Community Services — Billing Profile & Reimbursement Data

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Gateway Community Services — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References