Clinic
Open Door Family Medical Center, INC.
Open Door Family Medical Center, INC. was paid $2.08M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoOPEN DOOR FAMILY MEDICAL CENTER, INC.
BREWSTER, NY 10509
BREWSTER, NY 10509
33aNPI1003152240assigned 12/17/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.08M
24GClaims36,468
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New York
Rank by total paid#77 of 158
Median peer was paid$1.73M
This provider vs. median1.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 2,252 | $148K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 56% | 13,891 | 8,889 | $1.16M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 20% | 5,933 | 2,951 | $416K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.2% | 1,829 | 1,494 | $108K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.3% | 4,202 | 1,023 | $69K |
| 99441 | 2.7% | 811 | 633 | $57K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.7% | 325 | 250 | $36K |
| D1110 | Prophylaxis - adult | 1.5% | 976 | 403 | $31K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.4% | 250 | 222 | $28K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 332 | 241 | $16K |
| D0140 | Limited oral evaluation - problem focused | <1% | 385 | 173 | $16K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 186 | 186 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 131 | 82 | $14K |
39 more codes
| D1120 | Dental cleaning, child | <1% | 505 | $13K |
| 0012A | <1% | 371 | $8K | |
| 99442 | <1% | 79 | $8K | |
| 0002A | <1% | 206 | $7K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 848 | $7K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 106 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 94 | $6K |
| 0001A | <1% | 213 | $6K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 315 | $6K |
| 0011A | <1% | 338 | $6K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 236 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 58 | $5K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 457 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 215 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 120 | $4K |
| 0064A | <1% | 86 | $3K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 275 | $3K |
| 0071A | <1% | 64 | $2K | |
| 99401 | <1% | 126 | $2K | |
| 0072A | <1% | 56 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 46 | $1K |
| 0004A | <1% | 38 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $1K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 13 | $1K |
| 0031A | <1% | 61 | $820.15 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 168 | $709.82 |
| 90688 | <1% | 20 | $400.00 | |
| 90686 | <1% | 391 | $377.09 | |
| 92551 | <1% | 42 | $223.30 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 15 | $130.00 |
| 87254 | <1% | 19 | $101.40 | |
| 90685 | <1% | 38 | $80.00 | |
| 94760 | <1% | 1,222 | $78.78 | |
| 99443 | <1% | 38 | $74.82 | |
| D0270 | <1% | 12 | $65.80 | |
| 99173 | 0% | 43 | $0.00 | |
| D1330 | 0% | 219 | $0.00 | |
| 99000 | 0% | 38 | $0.00 | |
| 36416 | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMAZZOTTA, MARIA (CHIEF FINANCE OFFICER)
Parent organizationOPEN DOOR FAMILY MEDICAL CENTER, INC.
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.