Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › BREWSTER › OPEN DOOR FAMILY MEDICAL CENTER, INC.

OPEN DOOR FAMILY MEDICAL CENTER, INC.

NPI: 1003152240 · BREWSTER, NY 10509 · Federally Qualified Health Center (FQHC) · NPI assigned 12/17/2012

$2.08M
Total Medicaid Paid
36,468
Total Claims
22,919
Beneficiaries
51
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMAZZOTTA, MARIA (CHIEF FINANCE OFFICER)
Parent OrganizationOPEN DOOR FAMILY MEDICAL CENTER, INC.
NPI Enumeration Date12/17/2012

Related Entities

Other providers sharing the same authorized official: MAZZOTTA, MARIA

ProviderCityStateTotal Paid
OPEN DOOR FAMILY MEDICAL CENTER INC SAUGERTIES NY $341K
OPEN DOOR FAMILY MEDICAL CENTER SCHOOL BASED MOBILE DENTAL VAN OSSINING NY $219K
OPEN DOOR FAMILY MEDICAL CENTER, INC. MOUNT KISCO NY $56K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,960 $318K
2019 9,173 $497K
2020 5,493 $323K
2021 8,710 $474K
2022 3,281 $180K
2023 2,599 $144K
2024 2,252 $148K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,891 8,889 $1.16M
90832 Psychotherapy, 30 minutes with patient 5,933 2,951 $416K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,829 1,494 $108K
D0120 Periodic oral evaluation - established patient 4,202 1,023 $69K
99441 811 633 $57K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 325 250 $36K
D1110 Prophylaxis - adult 976 403 $31K
90834 Psychotherapy, 45 minutes with patient 250 222 $28K
D2391 Resin-based composite - one surface, posterior, primary or permanent 332 241 $16K
D0140 Limited oral evaluation - problem focused 385 173 $16K
90791 Psychiatric diagnostic evaluation 186 186 $14K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 131 82 $14K
D1120 Prophylaxis - child 505 253 $13K
0012A 371 371 $8K
99442 79 65 $8K
0002A 206 206 $7K
90460 Immunization administration through 18 years of age via any route, first or only component 848 845 $7K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 106 37 $6K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 94 82 $6K
0001A 213 212 $6K
D0210 Intraoral - complete series of radiographic images 315 189 $6K
0011A 338 338 $6K
D0150 Comprehensive oral evaluation - new or established patient 236 123 $6K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 58 39 $5K
D0220 Intraoral - periapical first radiographic image 457 432 $4K
D0274 Bitewings - four radiographic images 215 96 $4K
D1206 Topical application of fluoride varnish 120 109 $4K
0064A 86 86 $3K
D0230 Intraoral - periapical each additional radiographic image 275 256 $3K
0071A 64 64 $2K
99401 126 125 $2K
0072A 56 56 $2K
D0330 Panoramic radiographic image 46 25 $1K
0004A 38 38 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 14 14 $1K
90792 Psychiatric diagnostic evaluation with medical services 13 13 $1K
0031A 61 61 $820.15
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 168 168 $709.82
90688 20 20 $400.00
90686 391 390 $377.09
92551 42 42 $223.30
90472 Immunization administration, each additional vaccine (list separately) 15 15 $130.00
87254 19 18 $101.40
90685 38 38 $80.00
94760 1,222 1,194 $78.78
99443 38 28 $74.82
D0270 12 12 $65.80
99173 43 43 $0.00
D1330 219 219 $0.00
99000 38 38 $0.00
36416 12 12 $0.00