Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › PORT CHESTER › OPEN DOOR FAMILY MEDICAL CENTER INC

OPEN DOOR FAMILY MEDICAL CENTER INC

NPI: 1285893719 · PORT CHESTER, NY 10573 · Federally Qualified Health Center (FQHC) · NPI assigned 06/09/2008

$19.42M
Total Medicaid Paid
268,405
Total Claims
146,995
Beneficiaries
67
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFARRELL, LINDSAY (PRESIDENT AND CEO)
Parent OrganizationOPEN DOOR FAMILY MEDICAL CENTER INC
NPI Enumeration Date06/09/2008

Related Entities

Other providers sharing the same authorized official: FARRELL, LINDSAY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 31,091 $2.45M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 76,805 44,347 $7.36M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 43,437 27,329 $5.15M
90832 Psychotherapy, 30 minutes with patient 8,179 4,829 $918K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,485 4,506 $736K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14,456 3,826 $734K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13,381 3,154 $647K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,588 4,024 $610K
99441 5,227 4,507 $469K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,239 3,562 $424K
D0120 Periodic oral evaluation - established patient 26,220 6,914 $418K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3,131 2,729 $316K
D1110 Prophylaxis - adult 7,926 4,713 $278K
0502F 1,443 1,183 $159K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 981 851 $116K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2,898 2,034 $116K
99442 1,029 910 $102K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 976 813 $96K
D1120 Prophylaxis - child 5,996 2,799 $89K
D0140 Limited oral evaluation - problem focused 2,375 1,023 $84K
90460 Immunization administration through 18 years of age via any route, first or only component 4,993 4,491 $84K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 2,486 1,119 $61K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 693 459 $59K
D0274 Bitewings - four radiographic images 4,127 1,891 $52K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,540 1,104 $51K
D0150 Comprehensive oral evaluation - new or established patient 2,403 1,146 $50K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 608 608 $34K
99443 353 283 $28K
D1206 Topical application of fluoride varnish 1,224 1,193 $26K
D0210 Intraoral - complete series of radiographic images 905 689 $21K
D1351 Sealant - per tooth 864 226 $21K
92340 Fitting of spectacles, except for aphakia; monofocal 592 592 $20K
90791 Psychiatric diagnostic evaluation 141 123 $18K
99381 130 93 $15K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 205 70 $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 43 39 $8K
D0220 Intraoral - periapical first radiographic image 3,302 3,217 $7K
D7140 Extraction, erupted tooth or exposed root 105 51 $5K
D0230 Intraoral - periapical each additional radiographic image 756 662 $3K
0072A 182 182 $3K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 29 28 $3K
82947 241 59 $3K
0071A 152 152 $3K
D1310 65 14 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 26 26 $2K
D1208 Topical application of fluoride, excluding varnish 1,237 1,235 $1K
99401 27 25 $964.09
D0272 Bitewings - two radiographic images 1,015 1,015 $858.17
G0008 Administration of influenza virus vaccine 44 44 $785.40
92551 117 117 $747.04
92250 27 27 $729.00
D1330 846 817 $568.00
0064A 14 14 $560.00
0001A 15 15 $558.80
0012A 37 37 $397.96
V2020 Frames, purchases 191 191 $368.00
D0270 137 134 $358.48
0011A 29 29 $281.16
0124A 12 12 $216.36
90688 12 12 $214.35
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 15 $197.06
85018 80 80 $160.00
V2784 Lens, polycarbonate or equal, any index, per lens 83 83 $8.00
94760 186 179 $0.00
90686 94 94 $0.00
99173 224 224 $0.00
90685 12 12 $0.00
90670 14 14 $0.00