Clinic
Open Door Family Medical Center, INC.
Open Door Family Medical Center, INC. was paid $1.14M by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoOPEN DOOR FAMILY MEDICAL CENTER, INC.
MAMARONECK, NY 10543
MAMARONECK, NY 10543
33aNPI1487194155assigned 03/01/2017
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.14M
24GClaims17,881
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New York
Rank by total paid#91 of 158
Median peer was paid$1.73M
This provider vs. median0.7×
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 | 1,934 | $184K | |
| 2019 | 1,727 | $167K | |
| 2020 | 1,537 | $155K | |
| 2021 | 3,095 | $226K | |
| 2022 | 1,649 | $38K | |
| 2023 | 3,657 | $154K | |
| 2024incomplete | 4,282 | $213K |
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 | 52% | 5,960 | 3,694 | $595K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 19% | 2,030 | 1,240 | $219K |
| 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 | 8.3% | 877 | 582 | $95K |
| 99441 | 4.8% | 660 | 539 | $55K | |
| D1110 | Prophylaxis - adult | 4.1% | 1,230 | 786 | $47K |
| D0274 | Bitewings - four radiographic images | 3.6% | 2,693 | 779 | $41K |
| D0210 | Intraoral - complete series of radiographic images | 2.1% | 753 | 480 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.3% | 1,248 | 725 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 180 | 131 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 76 | 51 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 478 | 374 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 134 | 82 | $7K |
12 more codes
| D1120 | Dental cleaning, child | <1% | 289 | $4K |
| 99442 | <1% | 38 | $3K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 139 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 652 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 21 | $1K |
| 99443 | <1% | 14 | $1K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 301 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 30 | $100.10 |
| D0270 | <1% | 12 | $47.37 | |
| D1206 | Topical application of fluoride varnish | <1% | 15 | $22.44 |
| D0272 | Bitewings - two radiographic images | <1% | 12 | $12.72 |
| D1330 | 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 officialFARRELL, LINDSAY (PRESIDENT AND CEO)
Parent organizationOPEN DOOR FAMILY MEDICAL CENTER, INC.
| Provider | Location | Paid |
|---|---|---|
| Open Door Family Medical Center, INC. | Ossining, NY | $35.37M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.