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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Gateways Community Services (NPI 1700947298)

Field	Value
Entity Type	Organization
Organization	Gateways Community Services
Address	144 Canal St
City	Nashua
State	NH
ZIP	03064
Taxonomy	Early Intervention Provider Agency
NPI Enumerated	December 12, 2006

Payer Source	Total Paid
Medicaid	$286.1M
Medicare	$0

Key Findings

GATEWAYS COMMUNITY SERVICES is effectively a single-payer Medicaid provider: there is no Medicare billing on file while Medicaid lifetime revenue totals $286.1M, indicating the organization’s operations and reimbursement are concentrated entirely within Medicaid programs. This profile suggests the provider’s services and contracting focus are aligned with state Medicaid waiver and community support structures rather than traditional Medicare-covered care.

Revenue concentration is highly skewed toward a small set of Medicaid codes: the top three Medicaid codes by revenue account for 82.6% of the provider’s total Medicaid revenue, showing that a few service lines dominate cash flow and operational throughput. This concentration implies that changes in reimbursement or utilization for those codes would materially affect the provider’s financial profile.

The single largest revenue driver is T1020, which generated $138.2M and represents 48.3% of Medicaid revenue; the claims volume (379.7K) and a #4 rank of 41 in-state (93th percentile) mark GATEWAYS as a high-volume personal care services provider in New Hampshire. This prevalence of T1020 billing indicates the organization operates substantial per‑diem personal care programs integrated into individualized plans of treatment, positioning personal care as the core service line.

T2025 ($65.9M, 23.0% of Medicaid revenue) and T2021 ($32.1M, 11.2% of Medicaid revenue) complete the top three, reinforcing a business model built around waiver services and day habilitation. These codes are consistent with intensive developmental and community-based supports for individuals with disabilities, suggesting the provider’s operational expertise centers on waiver-funded habilitation and care coordination.

Several codes show the provider as a statewide leader or outlier in specific service areas: H2023 (136K claims, $16.6M) ranks #1 of 29 providers in-state and is labeled an extreme outlier, indicating GATEWAYS is the dominant supported employment provider in New Hampshire by volume. Similarly, T1016 (253.6K claims, $6.3M) ranks #2 of 33 (97th percentile) and T1020 ranks in the 93th percentile, which together portray a competitive standing where the provider is a top-tier participant for multiple high‑volume Medicaid services.

Beyond the top three, a cluster of case-management and support codes—T2022 ($11.1M, #3 of 23 in-state), T2023 ($5.0M), and T1016—represent meaningful secondary revenue streams that align with care coordination and targeted case management. High ranks for these codes (often in the 90s percentiles) imply that care coordination and case management are important operational capabilities and likely facilitate the provider’s large personal‑care and waiver caseloads.

The provider has substantial tenure: the NPI was enumerated on 2006-12-12 (approximately 20 years ago), indicating long-term presence in the state Medicaid market and likely established relationships with state agencies and managed care plans. That duration supports the organization’s ability to develop the scale and systems required for high-volume, waiver-based service delivery.

While many billed codes are typical in-state volumes, some lower-revenue codes show modest participation (for example, T1005 ranks in the 25th percentile and several H20xx codes fall in mid- to low-percentile ranges), suggesting niche or limited activity in certain ancillary services. This mix indicates the provider focuses resources on primary waiver and habilitation offerings while maintaining limited engagement in peripheral service lines.

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	379,750	$360	$138.2M
T2025	Waiver services; not otherwise specified (nos)	53,160	$1,240	$65.9M
T2021	Day habilitation, waiver; per 15 minutes	163,900	$200	$32.1M
H2023	Supported employment, per 15 minutes	136,040	$120	$16.6M
T2022	Case management, per month	40,930	$270	$11.1M
T1016	Case management, each 15 minutes	253,610	$30	$6.3M
T2023	Targeted case management; per month	19,160	$260	$5M
H2015	Comprehensive community support services, per 15 minutes	52,920	$70	$3.7M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	13,420	$260	$3.4M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	26,090	$90	$2.2M

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Hampshire Distribution

Gateways Community Services — 3 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. New Hampshire median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	4	40	14,020	$330	$32.2M
T2025	Waiver services; not otherwise specified (nos)	3	10	20,960	$1,140	$26.7M
T2021	Day habilitation, waiver; per 15 minutes	9	40	11,650	$170	$12.7M
T1016	Case management, each 15 minutes	2	30	35,170	$170	$12.5M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	17	40	18,730	$140	$6.5M
H2019	Therapeutic behavioral services, per 15 minutes	32	30	3,880	$90	$4.4M
T2022	Case management, per month	3	20	4,510	$240	$3.5M
T2023	Targeted case management; per month	4	10	10,730	$230	$3.2M
H2023	Supported employment, per 15 minutes	1	30	11,450	$120	$2.3M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	6	20	10,250	$240	$2.2M

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gateways Community Services	NH	Behavior Analyst	$0	$494.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nashua Children's Home	NH	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$9.2M
Community Partners For Change, Inc	NH	Intellectual & Developmental Disabilities Psychologist	$0	$4.6M
The Greater Nashua Dental Connection	NH	Dentist	$0	$773.2K
John Bednar	NH	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$391K
Rite Aid Of New Hampshire Inc	NH	Community/Retail Pharmacy	$108.8K	$0
Philip Tavares	NH	Preventive Medicine/Occupational Environmental Medicine Physician	$17.7K	$0
Grace Tallarico	NH	Child & Adolescent Psychiatry Physician	$7.2K	$0

Gateways Community Services — Billing Profile & Reimbursement Data

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Gateways Community Services — 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