Clinic
Open Door Community Health Centers
Open Door Community Health Centers was paid $14.28M by Medicaid between Apr 2018 and Dec 2024, across 56 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
33Billing provider infoOPEN DOOR COMMUNITY HEALTH CENTERS
EUREKA, CA 95501
EUREKA, CA 95501
33aNPI1417474966assigned 08/25/2017
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$14.28M
24GClaims165,120
24DCodes billed56
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#235 of 826
Median peer was paid$4.05M
This provider vs. median3.5×
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 | 4,418 | $236K | |
| 2019 | 9,075 | $519K | |
| 2020 | 13,006 | $614K | |
| 2021 | 16,176 | $813K | |
| 2022 | 17,045 | $948K | |
| 2023 | 28,627 | $1.74M | |
| 2024incomplete | 76,773 | $9.41M |
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 | 92% | 66,370 | 55,221 | $13.09M |
| 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 | 2.0% | 35,331 | 18,346 | $292K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.4% | 3,898 | 1,462 | $196K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.3% | 8,088 | 3,046 | $187K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 1.0% | 2,339 | 1,939 | $148K |
| 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% | 35,463 | 19,824 | $80K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,096 | 652 | $70K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,524 | 847 | $66K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,925 | 837 | $63K |
| 97803 | <1% | 187 | 178 | $20K | |
| 97802 | <1% | 109 | 107 | $20K | |
| 90686 | <1% | 1,571 | 1,003 | $17K |
44 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 118 | $5K |
| H0049 | Alcohol and/or drug screening | <1% | 846 | $5K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 16 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 223 | $2K |
| 90656 | <1% | 222 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 452 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 23 | $1K |
| 91322 | <1% | 141 | $1K | |
| 90715 | <1% | 36 | $1K | |
| 90480 | <1% | 179 | $800.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 37 | $581.25 |
| 96156 | <1% | 31 | $454.37 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 93 | $413.40 |
| 92551 | <1% | 268 | $371.70 | |
| 99283 | Emergency room visit (moderate) | <1% | 113 | $363.75 |
| 90651 | <1% | 12 | $285.00 | |
| 0134A | <1% | 28 | $268.00 | |
| 99402 | <1% | 15 | $252.45 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 15 | $235.48 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $164.49 |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 13 | $126.15 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $62.92 |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 24 | $61.36 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 432 | $56.11 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 22 | $43.85 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 29 | $37.39 |
| 81002 | <1% | 115 | $32.13 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 17 | $29.24 |
| G9920 | Screening performed and negative | <1% | 16 | $29.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 672 | $13.38 |
| 85018 | <1% | 44 | $4.14 | |
| 81000 | <1% | 26 | $2.58 | |
| Z1034 | 0% | 2,261 | $0.00 | |
| 99460 | 0% | 65 | $0.00 | |
| 99441 | 0% | 47 | $0.00 | |
| 99443 | 0% | 27 | $0.00 | |
| Z6402 | 0% | 17 | $0.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 72 | $0.00 |
| 99442 | 0% | 235 | $0.00 | |
| 99173 | 0% | 88 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 58 | $0.00 |
| 91313 | 0% | 12 | $0.00 | |
| Z6400 | 0% | 17 | $0.00 | |
| Z6300 | 0% | 17 | $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)
Parent organizationOPEN DOOR COMMUNITY HEALTH CENTERS
| 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 | 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.