Clinic
Open Doors for the Developmentally Challenged, INC.
Open Doors for the Developmentally Challenged, INC. was paid $25.16M by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 88% of everything it billed.
33Billing provider infoOPEN DOORS FOR THE DEVELOPMENTALLY CHALLENGED, INC.
LEWISBURG, WV 24901
LEWISBURG, WV 24901
33aNPI1508907338assigned 02/12/2007
33bProvider typeDevelopmental Disabilities Clinic/Center
28Total paid$25.16M
24GClaims14,850
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Developmental Disabilities Clinic/Center providers in West Virginia
Rank by total paid#5 of 9
Median peer was paid$25.16M
This provider vs. median1.0×
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 | 2,267 | $3.57M | |
| 2019 | 2,552 | $3.57M | |
| 2020 | 2,511 | $3.41M | |
| 2021 | 2,461 | $4.23M | |
| 2022 | 2,269 | $4.21M | |
| 2023 | 1,984 | $3.88M | |
| 2024incomplete | 806 | $2.28M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 88% | 3,994 | 2,009 | $22.12M |
| T1002 | Rn services, up to 15 minutes | 3.9% | 1,579 | 1,574 | $972K |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 2.5% | 2,199 | 2,190 | $635K |
| G9002 | Coordinated care fee, maintenance rate | 1.7% | 1,918 | 1,914 | $426K |
| T1016 | Case management, each 15 minutes | 1.5% | 1,791 | 1,783 | $371K |
| T1003 | Lpn/lvn services, up to 15 minutes | 1.4% | 1,527 | 1,523 | $342K |
| A0160 | Non-emergency transportation: per mile - case worker or social worker | 1.1% | 1,672 | 1,663 | $278K |
| T2024 | Service assessment/plan of care development, waiver | <1% | 170 | 107 | $11K |
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 officialHINKLE, AMBER (EXECUTIVE DIRECTOR)