Clinic
Open Door Health Services, INC.
Open Door Health Services, INC. was paid $2.97M by Medicaid between Feb 2020 and Nov 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoOPEN DOOR HEALTH SERVICES, INC.
MUNCIE, IN 47303
MUNCIE, IN 47303
33aNPI1104133511assigned 09/07/2010
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.97M
24GClaims92,701
24DCodes billed50
24AFirst – last monthFeb 2020 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
Rank by total paid#32 of 156
Median peer was paid$568K
This provider vs. median5.2×
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 | |
|---|---|---|---|
| 2020 | 4,631 | $188K | |
| 2021 | 18,034 | $600K | |
| 2022 | 23,854 | $679K | |
| 2023 | 27,163 | $823K | |
| 2024incomplete | 19,019 | $681K |
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 | 32% | 15,963 | 13,676 | $939K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 15% | 44,469 | 32,358 | $443K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.7% | 3,449 | 3,160 | $289K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.5% | 3,215 | 2,922 | $253K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 7.9% | 2,950 | 1,613 | $235K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.2% | 2,377 | 2,192 | $184K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.3% | 2,357 | 1,302 | $128K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.0% | 3,303 | 2,899 | $117K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 1,456 | 1,275 | $112K |
| 87428 | 2.4% | 1,808 | 1,434 | $71K | |
| 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 | 2.1% | 830 | 722 | $64K |
| 59426 | 1.3% | 438 | 285 | $39K |
38 more codes
| 59425 | 1.3% | 464 | $37K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 119 | $10K |
| 99381 | <1% | 135 | $9K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 675 | $8K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 176 | $7K |
| 99383 | <1% | 64 | $5K | |
| 96113 | <1% | 29 | $5K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 63 | $3K |
| 96112 | <1% | 35 | $3K | |
| 83655 | <1% | 274 | $3K | |
| 90677 | <1% | 230 | $2K | |
| 87807 | <1% | 141 | $1K | |
| 90686 | <1% | 1,753 | $891.11 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 55 | $842.02 |
| 85018 | <1% | 400 | $691.45 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 49 | $433.47 |
| 81025 | <1% | 35 | $250.57 | |
| 81003 | <1% | 121 | $243.23 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 16 | $165.00 |
| 81002 | <1% | 31 | $78.30 | |
| 90656 | <1% | 220 | $74.98 | |
| 96127 | <1% | 13 | $36.74 | |
| 90744 | 0% | 348 | $0.00 | |
| 90698 | 0% | 1,411 | $0.00 | |
| 90680 | 0% | 140 | $0.00 | |
| 90696 | 0% | 13 | $0.00 | |
| 90651 | 0% | 80 | $0.00 | |
| 90723 | 0% | 75 | $0.00 | |
| 90620 | 0% | 27 | $0.00 | |
| 90670 | 0% | 1,543 | $0.00 | |
| 90633 | 0% | 470 | $0.00 | |
| 90621 | 0% | 53 | $0.00 | |
| 90734 | 0% | 361 | $0.00 | |
| 90681 | 0% | 141 | $0.00 | |
| 90648 | 0% | 49 | $0.00 | |
| 90649 | 0% | 183 | $0.00 | |
| 90710 | 0% | 40 | $0.00 | |
| 90715 | 0% | 54 | $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 officialAYARS, BRYAN (CHIEF EXECUTIVE OFFICER)
Parent organizationOPEN DOOR HEALTH SERVICES, INC.
| Provider | Location | Paid |
|---|---|---|
| Open Door Health Services, INC. | Muncie, IN | $15.04M |
| Open Door Health Services, INC. | Muncie, IN | $617K |
| Open Door Health Services, INC. | Muncie, IN | $130K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.