Physician
Open Door Community Health Centers
Open Door Community Health Centers was paid $26.51M by Medicaid between Jan 2018 and Dec 2024, across 73 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 68% of everything it billed.
33Billing provider infoOPEN DOOR COMMUNITY HEALTH CENTERS
CRESCENT CITY, CA 95531
CRESCENT CITY, CA 95531
33aNPI1497840656assigned 10/04/2006
33bProvider typeObstetrics Physician
28Total paid$26.51M
24GClaims378,355
24DCodes billed73
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics Physician providers in California
Rank by total paid#1 of 52
Median peer was paid$64K
This provider vs. median415×
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 | 54,299 | $3.98M | |
| 2019 | 53,642 | $2.92M | |
| 2020 | 64,362 | $3.48M | |
| 2021 | 56,615 | $3.71M | |
| 2022 | 49,184 | $3.72M | |
| 2023 | 53,384 | $4.50M | |
| 2024incomplete | 46,869 | $4.21M |
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 | 68% | 118,280 | 99,727 | $17.97M |
| 00003 | Internal/system code - not a standard HCPCS code | 29% | 31,208 | 27,654 | $7.63M |
| 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% | 100,480 | 58,224 | $254K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 9,327 | 3,600 | $116K |
| 80305 | <1% | 8,748 | 4,214 | $85K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 2,147 | 1,025 | $65K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 21,682 | 12,164 | $63K |
| 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 | <1% | 32,724 | 18,913 | $55K |
| J3490 | Unclassified drugs | <1% | 762 | 634 | $35K |
| 90686 | <1% | 2,691 | 1,994 | $28K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 6,157 | 4,495 | $23K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,556 | 1,049 | $23K |
61 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 761 | $16K |
| H0049 | Alcohol and/or drug screening | <1% | 6,730 | $16K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 887 | $11K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 833 | $11K |
| 11721 | <1% | 620 | $8K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,941 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,439 | $7K |
| 90715 | <1% | 609 | $6K | |
| G9920 | Screening performed and negative | <1% | 487 | $6K |
| 90651 | <1% | 994 | $6K | |
| 92551 | <1% | 6,721 | $5K | |
| 90688 | <1% | 276 | $5K | |
| 0011A | <1% | 70 | $5K | |
| 0012A | <1% | 66 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 257 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 119 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 559 | $3K |
| 81025 | <1% | 1,246 | $3K | |
| 90734 | <1% | 560 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 995 | $3K |
| 0064A | <1% | 33 | $2K | |
| 91322 | <1% | 28 | $2K | |
| S4993 | Contraceptive pills for birth control | <1% | 52 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 241 | $2K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 336 | $2K |
| 0134A | <1% | 24 | $1K | |
| 90656 | <1% | 162 | $1K | |
| 90670 | <1% | 110 | $1K | |
| 99283 | Emergency room visit (moderate) | <1% | 1,693 | $1K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 152 | $1K |
| 0002A | <1% | 17 | $1K | |
| A4267 | Contraceptive supply, condom, male, each | <1% | 116 | $1K |
| 81002 | <1% | 2,424 | $1K | |
| 20610 | <1% | 16 | $961.59 | |
| 0124A | <1% | 12 | $804.00 | |
| 99384 | <1% | 67 | $657.80 | |
| 90619 | <1% | 126 | $549.00 | |
| 85610 | <1% | 338 | $530.48 | |
| 99383 | <1% | 44 | $383.81 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 187 | $343.20 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 721 | $302.42 |
| 11055 | <1% | 12 | $291.48 | |
| 92552 | <1% | 107 | $286.11 | |
| 90662 | <1% | 93 | $225.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 37 | $208.14 |
| 90710 | <1% | 46 | $198.00 | |
| 90696 | <1% | 21 | $99.00 | |
| 90698 | <1% | 24 | $90.00 | |
| 90671 | <1% | 21 | $81.00 | |
| 85018 | <1% | 371 | $72.45 | |
| 81000 | <1% | 55 | $30.44 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 39 | $29.00 |
| 82044 | <1% | 16 | $23.52 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 707 | $8.92 |
| 86580 | <1% | 79 | $6.72 | |
| 99173 | 0% | 2,871 | $0.00 | |
| 99442 | 0% | 1,547 | $0.00 | |
| 99441 | 0% | 1,246 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 189 | $0.00 |
| 94760 | 0% | 29 | $0.00 | |
| 90480 | 0% | 14 | $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)
| Provider | Location | Paid |
|---|---|---|
| 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 | Eureka, CA | $14.28M |
| 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.