Clinic
Open Door Health Services, INC.
Open Door Health Services, INC. was paid $167K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoOPEN DOOR HEALTH SERVICES, INC.
ANDERSON, IN 46016
ANDERSON, IN 46016
33aNPI1508811910assigned 05/23/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$167K
24GClaims7,555
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
Rank by total paid#110 of 156
Median peer was paid$568K
This provider vs. median0.3×
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 | 521 | $5K | |
| 2019 | 339 | $13K | |
| 2020 | 235 | $10K | |
| 2021 | 1,464 | $32K | |
| 2022 | 1,468 | $27K | |
| 2023 | 2,370 | $52K | |
| 2024incomplete | 1,158 | $29K |
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% | 2,047 | 1,629 | $86K |
| 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 | 26% | 569 | 501 | $44K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 19% | 4,416 | 3,478 | $32K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 16 | 12 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 29 | 25 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 13 | 12 | $1K |
| 96127 | <1% | 406 | 181 | $956.71 | |
| 90686 | <1% | 59 | 49 | $446.88 |
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 officialESTEP, TONI (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Open Door Health Services, INC. | Muncie, IN | $3.82M |
| Open Door Health Services, INC. | Anderson, IN | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.