Clinic
Open Door Family Medical Center, INC.
Open Door Family Medical Center, INC. was paid $35.37M by Medicaid between Jan 2018 and Dec 2024, across 125 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoOPEN DOOR FAMILY MEDICAL CENTER, INC.
OSSINING, NY 10562
OSSINING, NY 10562
33aNPI1467487637assigned 07/12/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$35.37M
24GClaims594,485
24DCodes billed125
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New York
Rank by total paid#13 of 158
Median peer was paid$1.73M
This provider vs. median20×
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 | 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 | |
| 2024incomplete | 62,911 | $3.73M |
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 | 44% | 158,661 | 109,708 | $15.65M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.4% | 34,957 | 25,882 | $2.98M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 5.9% | 34,559 | 18,099 | $2.10M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.3% | 13,911 | 9,939 | $1.51M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.5% | 11,304 | 8,482 | $1.23M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.4% | 12,999 | 7,862 | $1.20M |
| 99441 | 2.9% | 14,339 | 11,474 | $1.02M | |
| 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 | 2.9% | 9,777 | 6,389 | $1.01M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.8% | 9,966 | 6,420 | $989K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.3% | 48,353 | 12,723 | $808K |
| 0502F | 1.9% | 7,700 | 4,955 | $663K | |
| D1110 | Prophylaxis - adult | 1.7% | 14,002 | 8,026 | $607K |
113 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 7,474 | $572K |
| 99442 | 1.6% | 5,866 | $550K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.5% | 5,927 | $537K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 7,279 | $311K |
| G0008 | Administration of influenza virus vaccine | <1% | 16,812 | $297K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 5,136 | $282K |
| D1120 | Dental cleaning, child | <1% | 10,837 | $244K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 13,179 | $241K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,690 | $200K |
| T2022 | Case management, per month | <1% | 1,909 | $169K |
| L3010 | Foot, insert, removable, molded to patient model, longitudinal arch support, each | <1% | 1,300 | $148K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 4,446 | $146K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,053 | $146K |
| D0274 | Bitewings - four radiographic images | <1% | 10,155 | $143K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,077 | $137K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 6,438 | $114K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,886 | $104K |
| D0330 | Panoramic radiographic image | <1% | 6,297 | $100K |
| D1206 | Topical application of fluoride varnish | <1% | 2,164 | $93K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 865 | $89K |
| G0009 | Administration of pneumococcal vaccine | <1% | 4,429 | $76K |
| G0467 | Community health center visit, returning patient | <1% | 2,712 | $67K |
| D1351 | Sealant - per tooth | <1% | 3,346 | $58K |
| 99443 | <1% | 777 | $54K | |
| 0002A | <1% | 1,432 | $53K | |
| 0001A | <1% | 1,635 | $52K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,328 | $43K |
| 90688 | <1% | 1,950 | $34K | |
| 0012A | <1% | 1,071 | $27K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 6,027 | $26K |
| 0071A | <1% | 645 | $26K | |
| 99401 | <1% | 2,497 | $25K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,816 | $24K |
| 0072A | <1% | 586 | $23K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,877 | $21K |
| 97803 | <1% | 339 | $19K | |
| 0064A | <1% | 476 | $19K | |
| 0011A | <1% | 1,021 | $19K | |
| 90750 | <1% | 128 | $17K | |
| 0004A | <1% | 436 | $17K | |
| 99381 | <1% | 147 | $17K | |
| 97802 | <1% | 245 | $17K | |
| 92133 | <1% | 479 | $17K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 328 | $16K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 3,335 | $15K |
| 87254 | <1% | 2,009 | $14K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,894 | $14K |
| D0272 | Bitewings - two radiographic images | <1% | 1,715 | $11K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 272 | $10K |
| 87428 | <1% | 527 | $9K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 900 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,405 | $9K |
| 85018 | <1% | 3,929 | $8K | |
| 86703 | <1% | 568 | $8K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 60 | $7K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 64 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 484 | $7K |
| 81025 | <1% | 2,963 | $6K | |
| 90715 | <1% | 189 | $5K | |
| V2020 | Frames, purchases | <1% | 1,034 | $5K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 85 | $5K |
| 90480 | <1% | 150 | $4K | |
| 92551 | <1% | 8,504 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 636 | $4K |
| 82947 | <1% | 706 | $3K | |
| 87430 | <1% | 606 | $3K | |
| 76830 | Ultrasound, transvaginal | <1% | 39 | $3K |
| 81003 | <1% | 1,335 | $3K | |
| 80061 | Lipid panel | <1% | 447 | $3K |
| 99429 | <1% | 106 | $3K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 147 | $3K |
| 96127 | <1% | 405 | $2K | |
| 92002 | <1% | 27 | $2K | |
| 0031A | <1% | 194 | $2K | |
| 83655 | <1% | 320 | $2K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 20 | $2K |
| 0054A | <1% | 48 | $2K | |
| 0124A | <1% | 40 | $2K | |
| 86580 | <1% | 197 | $2K | |
| 82043 | <1% | 325 | $2K | |
| 92250 | <1% | 58 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 143 | $1K |
| D1354 | <1% | 56 | $1K | |
| D4341 | <1% | 27 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 13 | $975.00 |
| 93000 | <1% | 57 | $922.05 | |
| 90661 | <1% | 40 | $800.00 | |
| 88720 | <1% | 151 | $769.57 | |
| D0270 | <1% | 69 | $692.14 | |
| 90686 | <1% | 294 | $611.64 | |
| 90674 | <1% | 30 | $580.00 | |
| 94010 | <1% | 12 | $440.16 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 16 | $336.00 |
| 90746 | <1% | 12 | $276.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 517 | $247.00 |
| 99406 | <1% | 12 | $187.80 | |
| 4124F | <1% | 12 | $180.00 | |
| D1330 | <1% | 1,136 | $116.60 | |
| 99173 | <1% | 9,408 | $101.65 | |
| 94760 | <1% | 20,011 | $36.74 | |
| 99000 | <1% | 4,382 | $16.00 | |
| 90681 | 0% | 150 | $0.00 | |
| 90670 | 0% | 339 | $0.00 | |
| 94150 | 0% | 66 | $0.00 | |
| S0613 | Annual gynecological examination; clinical breast examination without pelvic evaluation | 0% | 111 | $0.00 |
| 90685 | 0% | 139 | $0.00 | |
| 1160F | 0% | 35 | $0.00 | |
| 90648 | 0% | 190 | $0.00 | |
| 36416 | 0% | 1,928 | $0.00 | |
| 90723 | 0% | 119 | $0.00 | |
| 90634 | 0% | 42 | $0.00 | |
| D1310 | 0% | 12 | $0.00 | |
| D1353 | 0% | 168 | $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 officialFARRELL, LINDSAY (PRESIDENT & CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.