Clinic
Open Cities Health Center, INC.
Open Cities Health Center, INC. was paid $6.98M by Medicaid between Jan 2018 and Dec 2024, across 96 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoOPEN CITIES HEALTH CENTER, INC.
ST. PAUL, MN 55104
ST. PAUL, MN 55104
33aNPI1225101405assigned 11/16/2006
33bProvider typeClinic/Center
28Total paid$6.98M
24GClaims81,348
24DCodes billed96
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Minnesota
Rank by total paid#8 of 250
Median peer was paid$274K
This provider vs. median25×
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 | 11,573 | $626K | |
| 2019 | 12,569 | $716K | |
| 2020 | 10,484 | $971K | |
| 2021 | 16,489 | $1.40M | |
| 2022 | 10,814 | $1.05M | |
| 2023 | 11,660 | $1.22M | |
| 2024incomplete | 7,759 | $1.00M |
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 | 26% | 13,493 | 11,471 | $1.80M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 20% | 7,213 | 1,851 | $1.37M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 16% | 6,015 | 2,446 | $1.11M |
| D0140 | Limited oral evaluation - problem focused | 8.0% | 4,000 | 3,702 | $559K |
| 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 | 6.2% | 2,518 | 2,225 | $434K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 5.7% | 2,472 | 1,111 | $398K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.2% | 1,243 | 1,197 | $157K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.1% | 918 | 856 | $145K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 1,162 | 991 | $142K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.7% | 972 | 565 | $121K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.4% | 525 | 484 | $98K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.3% | 609 | 548 | $90K |
84 more codes
| 99201 | 1.2% | 490 | $83K | |
| 99203 | Doctor's office visit, new patient (routine) | 1.1% | 370 | $78K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 429 | $59K |
| 98940 | <1% | 339 | $47K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 272 | $41K |
| G0467 | Community health center visit, returning patient | <1% | 742 | $37K |
| H0031 | Mental health assessment, by non-physician | <1% | 155 | $34K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 413 | $31K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 171 | $30K |
| D1110 | Prophylaxis - adult | <1% | 1,068 | $25K |
| D5899 | <1% | 91 | $17K | |
| D0330 | Panoramic radiographic image | <1% | 701 | $16K |
| X5622 | <1% | 371 | $13K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 91 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 34 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 27 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 69 | $5K |
| H0046 | Mental health services, not otherwise specified | <1% | 4,079 | $5K |
| 92015 | Determination of refractive state | <1% | 1,517 | $5K |
| 3725F | <1% | 136 | $3K | |
| D0274 | Bitewings - four radiographic images | <1% | 1,852 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,860 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,751 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 32 | $722.46 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,860 | $669.81 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 30 | $427.88 |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,908 | $414.54 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 4,124 | $331.02 |
| 99406 | <1% | 228 | $209.75 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 782 | $181.30 |
| 99072 | <1% | 1,081 | $126.39 | |
| 90686 | <1% | 110 | $67.90 | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 42 | $44.62 |
| 90656 | <1% | 38 | $40.11 | |
| 80061 | Lipid panel | <1% | 788 | $29.28 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 411 | $29.08 |
| 90756 | <1% | 309 | $22.44 | |
| 80053 | Comprehensive metabolic panel | <1% | 721 | $21.90 |
| D1120 | Dental cleaning, child | <1% | 293 | $19.64 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | <1% | 699 | $12.08 |
| 85018 | <1% | 65 | $6.52 | |
| 36416 | <1% | 132 | $5.30 | |
| 81001 | <1% | 390 | $3.46 | |
| 82465 | <1% | 41 | $0.03 | |
| 83718 | <1% | 40 | $0.02 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 211 | $0.00 |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 0% | 126 | $0.00 |
| D1330 | 0% | 136 | $0.00 | |
| 81000 | 0% | 39 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 110 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 152 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 59 | $0.00 |
| 92551 | 0% | 470 | $0.00 | |
| D0603 | 0% | 21 | $0.00 | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 0% | 126 | $0.00 |
| 97014 | 0% | 53 | $0.00 | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 0% | 172 | $0.00 |
| V5008 | Hearing screening | 0% | 150 | $0.00 |
| 86592 | 0% | 58 | $0.00 | |
| D1310 | 0% | 78 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 64 | $0.00 |
| D0601 | 0% | 66 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 83 | $0.00 |
| 90674 | 0% | 21 | $0.00 | |
| 0001A | 0% | 48 | $0.00 | |
| 0064A | 0% | 12 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 89 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 16 | $0.00 |
| 96127 | 0% | 15 | $0.00 | |
| 82270 | 0% | 14 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 305 | $0.00 |
| 87210 | 0% | 45 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 109 | $0.00 |
| 99173 | 0% | 499 | $0.00 | |
| 86703 | 0% | 196 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 106 | $0.00 |
| 83721 | 0% | 40 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 83 | $0.00 |
| 0002A | 0% | 30 | $0.00 | |
| 97813 | 0% | 55 | $0.00 | |
| 99188 | 0% | 36 | $0.00 | |
| 90461 | 0% | 60 | $0.00 | |
| 91300 | 0% | 89 | $0.00 | |
| 90715 | 0% | 14 | $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 officialGREEN, FRANCES (HR)
| Provider | Location | Paid |
|---|---|---|
| Open Cities Health Center, INC. | St. Paul, MN | $1.59M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.