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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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 Home Care, LLC (NPI 1518953678)

Field	Value
Entity Type	Organization
Organization	Gateway Home Care, LLC
Address	179 E Burr Blvd Ste N
City	Kearneysville
State	WV
ZIP	25430
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	September 23, 2005

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	8,820	$60	$494K
E0601	Continuous positive airway pressure (CPAP) device	3,260	$40	$117.5K
A7030	Full face mask used with positive airway pressure device, each	1,170	$80	$90.4K
A4520	Incontinence garment, any type, (e.g., brief, diaper), each	910	$90	$79.4K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	6,710	$10	$73.9K
E0562	Humidifier, heated, used with positive airway pressure device	1,490	$20	$34.2K
A7035	Headgear used with positive airway pressure device	1,670	$20	$33.3K
E0570	Nebulizer, with compressor	2,100	$20	$31.4K
A7037	Tubing used with positive airway pressure device	1,800	$20	$30.5K
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	730	$30	$20.6K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. West Virginia Distribution

Gateway Home Care, LLC — 0 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. West Virginia median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A4520	Incontinence garment, any type, (e.g., brief, diaper), each	21	30	2,020	$110	$1.3M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	25	80	5,550	$60	$504.2K
A4554	Disposable underpads, all sizes	22	20	670	$20	$166.3K
E0601	Continuous positive airway pressure (CPAP) device	9	60	1,500	$40	$71K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	18	80	3,150	$10	$55.4K
A7030	Full face mask used with positive airway pressure device, each	15	50	560	$60	$52.8K
E0562	Humidifier, heated, used with positive airway pressure device	9	40	820	$30	$38.7K
A4604	Tubing with integrated heating element for use with positive airway pressure device	30	30	530	$30	$31.8K
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive…	24	30	170	$80	$25.6K
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	12	10	360	$40	$25.5K

Showing 1–10 of 23

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gateway Home Care, LLC	WV	Durable Medical Equipment & Medical Supplies	$0	$1.1M

Nearby Providers

Other providers in the same ZIP code as Gateway Home Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountaineer Behavioral Health	WV	Substance Abuse Rehabilitation Facility	$0	$20.5M
Stonebrook, Inc	WV	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$8.6M
Renovo Center LLC	WV	Community/Behavioral Health Agency	$0	$2M
Ryneal Fire Company #1	WV	Ambulance	$9.4K	$1.6M
Renovo Center LLC	WV	Community/Behavioral Health Agency	$0	$1.5M
Jan Nieves	WV	Psychiatric/Mental Health Nurse Practitioner	$63.4K	$0
Terrence Reidy	WV	Internal Medicine Physician	$13.4K	$0

Gateway Home Care, LLC — Billing Profile & Reimbursement Data

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Gateway Home Care, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References