Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

OPEN DOOR FAMILY MEDICAL CENTER, INC.

NPI: 1467487637 · OSSINING, NY 10562 · Federally Qualified Health Center (FQHC) · NPI assigned 07/12/2006

$35.37M
Total Medicaid Paid
594,485
Total Claims
413,909
Beneficiaries
125
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFARRELL, LINDSAY (PRESIDENT & CEO)
NPI Enumeration Date07/12/2006

Related Entities

Other providers sharing the same authorized official: FARRELL, LINDSAY

ProviderCityStateTotal Paid
OPEN DOOR FAMILY MEDICAL CENTER INC PORT CHESTER NY $19.42M
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 96,875 $5.82M
2019 89,893 $6.02M
2020 76,929 $4.97M
2021 98,688 $5.89M
2022 83,126 $4.32M
2023 86,063 $4.63M
2024 62,911 $3.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 158,661 109,708 $15.65M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 34,957 25,882 $2.98M
90832 Psychotherapy, 30 minutes with patient 34,559 18,099 $2.10M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13,911 9,939 $1.51M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 11,304 8,482 $1.23M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12,999 7,862 $1.20M
99441 14,339 11,474 $1.02M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,777 6,389 $1.01M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9,966 6,420 $989K
D0120 Periodic oral evaluation - established patient 48,353 12,723 $808K
0502F 7,700 4,955 $663K
D1110 Prophylaxis - adult 14,002 8,026 $607K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7,474 3,543 $572K
99442 5,866 4,470 $550K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 5,927 3,971 $537K
D2391 Resin-based composite - one surface, posterior, primary or permanent 7,279 3,830 $311K
G0008 Administration of influenza virus vaccine 16,812 16,802 $297K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 5,136 5,134 $282K
D1120 Prophylaxis - child 10,837 4,629 $244K
90460 Immunization administration through 18 years of age via any route, first or only component 13,179 12,995 $241K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,690 1,362 $200K
T2022 Case management, per month 1,909 1,401 $169K
L3010 Foot, insert, removable, molded to patient model, longitudinal arch support, each 1,300 1,300 $148K
92340 Fitting of spectacles, except for aphakia; monofocal 4,446 4,444 $146K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,053 1,043 $146K
D0274 Bitewings - four radiographic images 10,155 4,770 $143K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,077 1,065 $137K
D0150 Comprehensive oral evaluation - new or established patient 6,438 1,933 $114K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,886 1,178 $104K
D0330 Panoramic radiographic image 6,297 2,086 $100K
D1206 Topical application of fluoride varnish 2,164 2,079 $93K
90791 Psychiatric diagnostic evaluation 865 779 $89K
G0009 Administration of pneumococcal vaccine 4,429 4,425 $76K
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 2,712 1,264 $67K
D1351 Sealant - per tooth 3,346 654 $58K
99443 777 626 $54K
0002A 1,432 1,432 $53K
0001A 1,635 1,625 $52K
D0140 Limited oral evaluation - problem focused 1,328 684 $43K
90688 1,950 1,950 $34K
0012A 1,071 1,071 $27K
D0230 Intraoral - periapical each additional radiographic image 6,027 5,560 $26K
0071A 645 645 $26K
99401 2,497 2,454 $25K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,816 1,809 $24K
0072A 586 586 $23K
D0220 Intraoral - periapical first radiographic image 1,877 1,840 $21K
97803 339 327 $19K
0064A 476 476 $19K
0011A 1,021 1,021 $19K
90750 128 128 $17K
0004A 436 436 $17K
99381 147 130 $17K
97802 245 245 $17K
92133 479 479 $17K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 328 80 $16K
D1208 Topical application of fluoride, excluding varnish 3,335 3,320 $15K
87254 2,009 1,981 $14K
83036 Hemoglobin; glycosylated (A1C) 1,894 1,870 $14K
D0272 Bitewings - two radiographic images 1,715 1,692 $11K
J1050 Injection, medroxyprogesterone acetate, 1 mg 272 272 $10K
87428 527 522 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 900 885 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,405 2,373 $9K
85018 3,929 3,907 $8K
86703 568 568 $8K
90792 Psychiatric diagnostic evaluation with medical services 60 59 $7K
90834 Psychotherapy, 45 minutes with patient 64 55 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 484 480 $7K
81025 2,963 2,871 $6K
90715 189 189 $5K
V2020 Frames, purchases 1,034 1,034 $5K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 85 85 $5K
90480 150 150 $4K
92551 8,504 8,497 $4K
36415 Collection of venous blood by venipuncture 636 634 $4K
82947 706 666 $3K
87430 606 601 $3K
76830 Ultrasound, transvaginal 39 38 $3K
81003 1,335 1,306 $3K
80061 Lipid panel 447 447 $3K
99429 106 106 $3K
D0210 Intraoral - complete series of radiographic images 147 133 $3K
96127 405 405 $2K
92002 27 27 $2K
0031A 194 194 $2K
83655 320 319 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 20 20 $2K
0054A 48 48 $2K
0124A 40 40 $2K
86580 197 196 $2K
82043 325 324 $2K
92250 58 58 $2K
90472 Immunization administration, each additional vaccine (list separately) 143 142 $1K
D1354 56 26 $1K
D4341 27 12 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 13 12 $975.00
93000 57 57 $922.05
90661 40 40 $800.00
88720 151 108 $769.57
D0270 69 69 $692.14
90686 294 294 $611.64
90674 30 30 $580.00
94010 12 12 $440.16
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 16 16 $336.00
90746 12 12 $276.00
V2784 Lens, polycarbonate or equal, any index, per lens 517 517 $247.00
99406 12 12 $187.80
4124F 12 12 $180.00
D1330 1,136 1,132 $116.60
99173 9,408 9,394 $101.65
94760 20,011 19,468 $36.74
99000 4,382 4,333 $16.00
90681 150 150 $0.00
90670 339 339 $0.00
94150 66 66 $0.00
S0613 Annual gynecological examination; clinical breast examination without pelvic evaluation 111 110 $0.00
90685 139 138 $0.00
1160F 35 34 $0.00
90648 190 190 $0.00
36416 1,928 1,893 $0.00
90723 119 119 $0.00
90634 42 42 $0.00
D1310 12 12 $0.00
D1353 168 26 $0.00