Clinic
Open Cities Health Center, INC.
Open Cities Health Center, INC. was paid $1.59M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoOPEN CITIES HEALTH CENTER, INC.
ST. PAUL, MN 55117
ST. PAUL, MN 55117
33aNPI1376769778assigned 04/17/2007
33bProvider typeCommunity Health Clinic/Center
28Total paid$1.59M
24GClaims25,690
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Minnesota
Rank by total paid#4 of 13
Median peer was paid$227K
This provider vs. median7.0×
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 | 10,521 | $335K | |
| 2019 | 5,038 | $322K | |
| 2020 | 1,032 | $108K | |
| 2021 | 2,807 | $138K | |
| 2022 | 2,432 | $218K | |
| 2023 | 2,575 | $304K | |
| 2024incomplete | 1,285 | $168K |
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 | 53% | 5,642 | 4,625 | $844K |
| D0140 | Limited oral evaluation - problem focused | 14% | 2,186 | 2,045 | $227K |
| 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 | 9.1% | 705 | 617 | $145K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.5% | 886 | 875 | $104K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.2% | 357 | 180 | $68K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.5% | 216 | 199 | $41K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.5% | 185 | 166 | $40K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.3% | 173 | 158 | $36K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 359 | 349 | $28K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 279 | 183 | $15K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 142 | 113 | $14K |
| X5622 | <1% | 173 | 60 | $7K |
43 more codes
| D5899 | <1% | 87 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 42 | $5K |
| G0467 | Community health center visit, returning patient | <1% | 181 | $5K |
| 92015 | Determination of refractive state | <1% | 741 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 674 | $983.52 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,298 | $277.67 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 396 | $141.52 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,094 | $96.80 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,238 | $83.50 |
| 0011A | <1% | 251 | $49.17 | |
| 86703 | <1% | 18 | $38.68 | |
| D0274 | Bitewings - four radiographic images | <1% | 1,077 | $35.35 |
| D1110 | Prophylaxis - adult | <1% | 731 | $27.84 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 484 | $14.79 |
| 91301 | 0% | 429 | $0.00 | |
| 90686 | 0% | 15 | $0.00 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 0% | 25 | $0.00 |
| 99406 | 0% | 106 | $0.00 | |
| V5008 | Hearing screening | 0% | 183 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 111 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 86 | $0.00 |
| 92551 | 0% | 260 | $0.00 | |
| 0012A | 0% | 199 | $0.00 | |
| 0001A | 0% | 13 | $0.00 | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 0% | 72 | $0.00 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 0% | 34 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 92 | $0.00 |
| 90651 | 0% | 17 | $0.00 | |
| 96127 | 0% | 22 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 14 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 772 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 401 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 268 | $0.00 |
| 99173 | 0% | 270 | $0.00 | |
| 90461 | 0% | 130 | $0.00 | |
| 0002A | 0% | 28 | $0.00 | |
| 80061 | Lipid panel | 0% | 265 | $0.00 |
| 99072 | 0% | 131 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 14 | $0.00 |
| 91300 | 0% | 51 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 12 | $0.00 |
| 90756 | 0% | 39 | $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)
Parent organizationOPEN CITIES HEALTH CENTER, INC.
| Provider | Location | Paid |
|---|---|---|
| Open Cities Health Center, INC. | St. Paul, MN | $6.98M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.