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

Why is the Medicaid comparison limited to Georgia 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. Georgia (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 Service Board (NPI 1558478214)

Field	Value
Entity Type	Organization
Organization	Gateway Community Service Board
Address	700 Coastal Village Drive
City	Brunswick
State	GA
ZIP	31520
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	August 25, 2006

Payer Source	Total Paid
Medicaid	$22.4M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused community behavioral health agency: Medicare billing is listed as none while Medicaid revenue totals $22.4M, indicating near-exclusive reliance on Medicaid as the payer. The NPI was enumerated in 2006-08-25 (~20 years ago), so the organization has been operating and billing under this identifier for roughly two decades.

Revenue is highly concentrated in a small set of service lines: the precomputed top three Medicaid codes account for 48.7% of the provider's total Medicaid revenue, driven principally by H0038, 99214, and H0039. Individually, H0038 generates $4.8M (21.3% of Medicaid revenue), 99214 generates $4.1M (18.2%), and H0039 generates $2.1M (9.2%), demonstrating strong dependence on these three services.

The code mix signals a mix of outpatient medical management, intensive community-based services, and peer support: 99214 (57.4K claims, $4.1M) reflects high-volume office-based E/M activity for established patients, H0038 (75.6K claims, $4.8M) represents large-scale self-help/peer services delivered by the organization, and H0039 (24.2K claims, $2.1M) indicates active provision of assertive community treatment. Together these codes imply operations that combine clinic-based medical evaluation with extensive community and peer-delivered behavioral health supports.

The provider is a dominant state-level supplier for several high-volume codes: it ranks #1 of 11 providers in-state for H0038 (100th percentile; notably above typical state volume) and #1 of 60 providers in-state for 90792 (14.8K claims, $1.6M; 100th percentile; extreme outlier). 99214 is an extreme outlier in the state as well, ranking #9 of 824 providers (99th percentile; far above typical state volume), indicating unusually high outpatient E/M volume relative to peers.

While the provider is dominant for certain non-physician and evaluation services, other community-service codes show a more mixed competitive standing: H0039 (assertive community treatment) ranks #4 of 6 in-state (40th percentile; typical, unremarkable volume) and T1016 (case management) ranks #2 of 14 (92th percentile; typical, unremarkable volume), suggesting strong program breadth but variable market share across specialized team-based services.

Residential and rehabilitation services represent meaningful secondary revenue streams: H0018 (short-term residential per diem) accounts for $1.8M (8.0% of Medicaid revenue) and H2015/H2017 (comprehensive community support and psychosocial rehabilitation) together contribute additional but smaller shares, indicating the organization operates both outpatient/community and some short-term residential programming. H0018 ranks #1 of 4 in-state (100th percentile), reinforcing that residential care is a notable component of their Medicaid footprint.

High-volume psychotherapy and evaluation codes further underline clinical intensity: 90837 (21K claims, $1.7M; 7.7% of Medicaid revenue) and 90792 (14.8K claims, $1.6M; 7.2%) are large contributors and are described as extreme outliers or notably above typical state volume, which corroborates substantial investment in direct clinical services and psychiatric evaluation capacity.

Several ancillary service codes are also unusually prominent for this provider, including T1002 (21K claims, $733.6K; ranks #1 of 30, 100th percentile; extreme outlier) and Q3014 (5.1K claims, $55.6K; ranks #6 of 57, 91th percentile; notably above typical state volume), indicating the provider delivers nursing services and telehealth-originating site support at higher-than-typical levels for the state.

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0038	Self‑help/peer services, per 15 minutes	75,560	$60	$4.8M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	57,350	$70	$4.1M
H0039	Assertive community treatment, face-to-face, per 15 minutes	24,230	$90	$2.1M
T1016	Case management, each 15 minutes	31,270	$60	$2M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	5,710	$310	$1.8M
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…	21,020	$80	$1.7M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	14,850	$110	$1.6M
H0031	Mental health assessment, by non-physician	9,310	$110	$1M
T1002	Rn services, up to 15 minutes	20,960	$40	$733.6K
H0032	Mental health service plan development by non-physician	6,200	$80	$471.2K

Showing 1–10 of 29

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Gateway Community Service Board — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	4	10	24,810	$90	$2M
H0038	Self‑help/peer services, per 15 minutes	1	10	14,500	$60	$1.3M
T1003	Lpn/lvn services, up to 15 minutes	7	20	470	$150	$1.1M
T1016	Case management, each 15 minutes	2	10	4,850	$70	$923.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	13	20	3,800	$70	$896.7K
H2015	Comprehensive community support services, per 15 minutes	11	40	2,260	$70	$518.1K
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	1	10	370	$290	$467.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	149	920	370	$60	$360.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	9	820	390	$70	$245K
H0031	Mental health assessment, by non-physician	9	80	80	$110	$233.6K

Showing 1–10 of 29

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Deuser	GA	Psychiatry Physician	$48K	$0
Jose Cangiano	GA	Psychiatry Physician	$18.3K	$0
Karen Brazell	GA	Psychiatric/Mental Health Nurse Practitioner	$11.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paradigm Labs, LLC	GA	Clinical Medical Laboratory	$3.1M	$19.6M
Emergency Physicians Inc	GA	Emergency Medicine Physician	$0	$7.6M
Arc Of Georgia, LLC	GA	Ambulatory Surgical Clinic/Center	$1.3M	$0
Emmanuel Gage	GA	Interventional Pain Medicine Physician	$1.1M	$0
Seaside Surgical, LLC	GA	Ophthalmologic Surgery Clinic/Center	$1M	$0
Diana L. Walther, Ph.d. PC	GA	Psychologist	$0	$841.2K
Edward Dipreta	GA	Dermatology Physician	$584.1K	$0
Ahmed Elsharkawi	GA	Nephrology Physician	$497K	$0
Mark Watkins	GA	Specialist	$485.6K	$0
Bonnie Brooks	GA	Ophthalmology Physician	$448.3K	$0

Gateway Community Service Board — Billing Profile & Reimbursement Data

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Gateway Community Service Board — 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