Clinic
Open Door Family Medical Center INC
Open Door Family Medical Center INC was paid $19.42M by Medicaid between Jan 2018 and Dec 2024, across 67 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoOPEN DOOR FAMILY MEDICAL CENTER INC
PORT CHESTER, NY 10573
PORT CHESTER, NY 10573
33aNPI1285893719assigned 06/09/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$19.42M
24GClaims268,405
24DCodes billed67
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#22 of 158
Median peer was paid$1.73M
This provider vs. median11×
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 | 57,865 | $4.18M | |
| 2019 | 45,684 | $3.62M | |
| 2020 | 32,500 | $2.52M | |
| 2021 | 39,863 | $2.71M | |
| 2022 | 28,089 | $1.67M | |
| 2023 | 33,313 | $2.26M | |
| 2024incomplete | 31,091 | $2.45M |
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 | 38% | 76,805 | 44,347 | $7.36M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 27% | 43,437 | 27,329 | $5.15M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.7% | 8,179 | 4,829 | $918K |
| 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 | 3.8% | 10,485 | 4,506 | $736K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 14,456 | 3,826 | $734K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.3% | 13,381 | 3,154 | $647K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 7,588 | 4,024 | $610K |
| 99441 | 2.4% | 5,227 | 4,507 | $469K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 5,239 | 3,562 | $424K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.2% | 26,220 | 6,914 | $418K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.6% | 3,131 | 2,729 | $316K |
| D1110 | Prophylaxis - adult | 1.4% | 7,926 | 4,713 | $278K |
55 more codes
| 0502F | <1% | 1,443 | $159K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 981 | $116K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 2,898 | $116K |
| 99442 | <1% | 1,029 | $102K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 976 | $96K |
| D1120 | Dental cleaning, child | <1% | 5,996 | $89K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,375 | $84K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,993 | $84K |
| G0467 | Community health center visit, returning patient | <1% | 2,486 | $61K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 693 | $59K |
| D0274 | Bitewings - four radiographic images | <1% | 4,127 | $52K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,540 | $51K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,403 | $50K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 608 | $34K |
| 99443 | <1% | 353 | $28K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,224 | $26K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 905 | $21K |
| D1351 | Sealant - per tooth | <1% | 864 | $21K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 592 | $20K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 141 | $18K |
| 99381 | <1% | 130 | $15K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 205 | $12K |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 43 | $8K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,302 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 105 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 756 | $3K |
| 0072A | <1% | 182 | $3K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 29 | $3K |
| 82947 | <1% | 241 | $3K | |
| 0071A | <1% | 152 | $3K | |
| D1310 | <1% | 65 | $2K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 26 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,237 | $1K |
| 99401 | <1% | 27 | $964.09 | |
| D0272 | Bitewings - two radiographic images | <1% | 1,015 | $858.17 |
| G0008 | Administration of influenza virus vaccine | <1% | 44 | $785.40 |
| 92551 | <1% | 117 | $747.04 | |
| 92250 | <1% | 27 | $729.00 | |
| D1330 | <1% | 846 | $568.00 | |
| 0064A | <1% | 14 | $560.00 | |
| 0001A | <1% | 15 | $558.80 | |
| 0012A | <1% | 37 | $397.96 | |
| V2020 | Frames, purchases | <1% | 191 | $368.00 |
| D0270 | <1% | 137 | $358.48 | |
| 0011A | <1% | 29 | $281.16 | |
| 0124A | <1% | 12 | $216.36 | |
| 90688 | <1% | 12 | $214.35 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | $197.06 |
| 85018 | <1% | 80 | $160.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 83 | $8.00 |
| 94760 | 0% | 186 | $0.00 | |
| 90686 | 0% | 94 | $0.00 | |
| 99173 | 0% | 224 | $0.00 | |
| 90685 | 0% | 12 | $0.00 | |
| 90670 | 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 officialFARRELL, LINDSAY (PRESIDENT AND CEO)
Parent organizationOPEN DOOR FAMILY MEDICAL CENTER INC
| Provider | Location | Paid |
|---|---|---|
| Open Door Family Medical Center, INC. | Ossining, NY | $35.37M |
| Open Door Family Medical Center INC | Sleepy Hollow, NY | $5.31M |
| Open Door Family Medical Center, INC. | Mount Kisco, NY | $2.60M |
| Open Door Family Medical Center, INC. | Mamaroneck, NY | $1.14M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.