Physician
Open Door Community Health Centers
Open Door Community Health Centers was paid $21.34M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 00003, Internal/system code - not a standard HCPCS code — 60% of everything it billed.
33Billing provider infoOPEN DOOR COMMUNITY HEALTH CENTERS
FORTUNA, CA 95540
FORTUNA, CA 95540
33aNPI1306252051assigned 07/02/2014
33bProvider typeObstetrics & Gynecology Physician
28Total paid$21.34M
24GClaims193,732
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in California
Rank by total paid#2 of 791
Median peer was paid$67K
This provider vs. median319×
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 | 7,461 | $286K | |
| 2019 | 21,050 | $1.88M | |
| 2020 | 28,902 | $2.40M | |
| 2021 | 32,360 | $3.47M | |
| 2022 | 28,122 | $2.91M | |
| 2023 | 31,556 | $3.44M | |
| 2024incomplete | 44,281 | $6.94M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 60% | 40,542 | 31,702 | $12.77M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 39% | 56,572 | 47,673 | $8.33M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 4,883 | 2,019 | $78K |
| 80305 | <1% | 7,039 | 2,757 | $41K | |
| 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% | 47,318 | 24,706 | $39K |
| 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% | 20,558 | 12,060 | $22K |
| 90686 | <1% | 1,506 | 1,047 | $18K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 301 | 166 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 7,653 | 3,747 | $6K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,062 | 785 | $5K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 641 | 259 | $3K |
| 90656 | <1% | 228 | 151 | $2K |
39 more codes
| 97802 | <1% | 13 | $2K | |
| 0012A | <1% | 33 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 475 | $2K |
| H0049 | Alcohol and/or drug screening | <1% | 372 | $2K |
| 90715 | <1% | 80 | $1K | |
| 0002A | <1% | 16 | $1K | |
| 0064A | <1% | 31 | $938.00 | |
| 0011A | <1% | 14 | $938.00 | |
| 0001A | <1% | 13 | $871.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 214 | $749.32 |
| 91322 | <1% | 172 | $729.60 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 48 | $693.75 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 22 | $550.00 |
| 90746 | <1% | 17 | $449.04 | |
| 0134A | <1% | 32 | $402.00 | |
| 81015 | <1% | 285 | $387.50 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 60 | $315.56 |
| 90480 | <1% | 183 | $280.00 | |
| 90662 | <1% | 31 | $233.58 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 13 | $165.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,064 | $156.10 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 15 | $150.00 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 35 | $137.50 |
| 99283 | Emergency room visit (moderate) | <1% | 259 | $84.03 |
| 81002 | <1% | 354 | $56.67 | |
| 92551 | <1% | 76 | $44.88 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 24 | $43.85 |
| 81000 | <1% | 145 | $29.02 | |
| 99307 | <1% | 26 | $27.40 | |
| 99490 | Ccm add 20min | 0% | 751 | $0.00 |
| 99442 | 0% | 319 | $0.00 | |
| 99173 | 0% | 50 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 27 | $0.00 |
| 97810 | 0% | 32 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 25 | $0.00 |
| 91313 | 0% | 17 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 45 | $0.00 |
| 99441 | 0% | 26 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 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 | Eureka, CA | $14.28M |
| Open Door Community Health Centers | Arcata, CA | $12.80M |
| 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.