Clinic
Open Door Health Services, INC.
Open Door Health Services, INC. was paid $115K by Medicaid between Jan 2023 and Nov 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoOPEN DOOR HEALTH SERVICES, INC.
MUNCIE, IN 47305
MUNCIE, IN 47305
33aNPI1144974155assigned 02/08/2022
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$115K
24GClaims3,220
24DCodes billed7
24AFirst – last monthJan 2023 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
Rank by total paid#120 of 156
Median peer was paid$568K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2023 | 1,617 | $56K | |
| 2024incomplete | 1,603 | $59K |
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 | 47% | 949 | 842 | $54K |
| 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 | 34% | 483 | 451 | $38K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 16% | 1,733 | 1,441 | $19K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.5% | 15 | 13 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | 12 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 16 | 13 | $156.46 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | 12 | $87.62 |
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 officialBURKEY, MARIE (VP-COMPLIANCE/RISK)
Parent organizationOPEN DOOR HEALTH SERVICES, INC.