Physician
Open Door Community Health Centers
Open Door Community Health Centers was paid $12.80M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoOPEN DOOR COMMUNITY HEALTH CENTERS
ARCATA, CA 95521
ARCATA, CA 95521
33aNPI1255435533assigned 09/08/2006
33bProvider typeObstetrics Physician
28Total paid$12.80M
24GClaims232,880
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics Physician providers in California
Rank by total paid#2 of 52
Median peer was paid$64K
This provider vs. median200×
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 | 25,864 | $1.55M | |
| 2019 | 26,899 | $1.31M | |
| 2020 | 36,678 | $1.77M | |
| 2021 | 35,341 | $1.85M | |
| 2022 | 32,049 | $1.66M | |
| 2023 | 31,768 | $1.82M | |
| 2024incomplete | 44,281 | $2.83M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 95% | 84,651 | 72,871 | $12.18M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.1% | 9,026 | 3,493 | $136K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 74,036 | 41,325 | $120K |
| 80305 | <1% | 8,210 | 3,844 | $51K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,267 | 756 | $49K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,513 | 1,379 | $44K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 11,485 | 7,332 | $40K |
| 90686 | <1% | 3,074 | 2,201 | $31K | |
| 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% | 18,767 | 10,129 | $29K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 986 | 601 | $27K |
| 17999 | <1% | 338 | 191 | $23K | |
| H0049 | Alcohol and/or drug screening | <1% | 1,743 | 1,742 | $16K |
48 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 204 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 948 | $4K |
| 90715 | <1% | 166 | $3K | |
| 90656 | <1% | 353 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 86 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,377 | $3K |
| 91322 | <1% | 279 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 347 | $2K |
| 92551 | <1% | 3,351 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 343 | $2K |
| 90480 | <1% | 347 | $2K | |
| 90670 | <1% | 352 | $2K | |
| 0011A | <1% | 24 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 129 | $1K |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 511 | $1K |
| 0012A | <1% | 18 | $1K | |
| 81025 | <1% | 417 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 496 | $964.70 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 105 | $949.86 |
| 0072A | <1% | 12 | $804.00 | |
| 0134A | <1% | 40 | $737.00 | |
| 90698 | <1% | 136 | $684.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 357 | $526.24 |
| 90744 | <1% | 101 | $504.00 | |
| 81000 | <1% | 510 | $470.62 | |
| 87210 | <1% | 159 | $455.48 | |
| 90633 | <1% | 84 | $441.00 | |
| 83655 | <1% | 55 | $369.20 | |
| 90680 | <1% | 57 | $315.00 | |
| 81002 | <1% | 462 | $308.61 | |
| 90651 | <1% | 43 | $252.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 107 | $234.52 |
| 90688 | <1% | 20 | $223.00 | |
| 99283 | Emergency room visit (moderate) | <1% | 771 | $187.76 |
| 85018 | <1% | 921 | $133.19 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 162 | $97.86 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 763 | $84.74 |
| 81015 | <1% | 20 | $35.00 | |
| 99173 | 0% | 1,016 | $0.00 | |
| 99442 | 0% | 737 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 27 | $0.00 |
| 91313 | 0% | 25 | $0.00 | |
| 99188 | 0% | 12 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 31 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 13 | $0.00 |
| 99441 | 0% | 164 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 111 | $0.00 |
| 99443 | 0% | 15 | $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 officialSTARR, VICTOR (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Open Door Community Health Centers | Crescent City, CA | $26.51M |
| Open Door Community Health Centers | Eureka, CA | $25.92M |
| Open Door Community Health Centers | Eureka, CA | $24.49M |
| Open Door Community Health Centers | Fortuna, CA | $21.34M |
| Open Door Community Health Centers | Eureka, CA | $14.28M |
| Open Door Community Health Centers | Mckinleyville, CA | $8.68M |
| Open Door Community Health Centers | Arcata, CA | $8.48M |
| Open Door Community Health Centers | Arcata, CA | $7.49M |
| Open Door Community Health Centers | Ferndale, CA | $1.41M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.