Physician
Open Door Community Health Centers
Open Door Community Health Centers was paid $1.41M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoOPEN DOOR COMMUNITY HEALTH CENTERS
FERNDALE, CA 95536
FERNDALE, CA 95536
33aNPI1598178915assigned 06/03/2014
33bProvider typeObstetrics & Gynecology Physician
28Total paid$1.41M
24GClaims27,791
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in California
Rank by total paid#94 of 791
Median peer was paid$67K
This provider vs. median21×
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 | 2,715 | $180K | |
| 2019 | 2,480 | $130K | |
| 2020 | 3,811 | $179K | |
| 2021 | 4,395 | $217K | |
| 2022 | 4,077 | $180K | |
| 2023 | 5,400 | $269K | |
| 2024incomplete | 4,913 | $254K |
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 | 98% | 11,383 | 9,869 | $1.38M |
| 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% | 9,337 | 5,045 | $7K |
| 97802 | <1% | 32 | 32 | $5K | |
| 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% | 6,213 | 3,537 | $4K |
| 90686 | <1% | 265 | 202 | $4K | |
| 0011A | <1% | 39 | 39 | $3K | |
| 0012A | <1% | 37 | 37 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 280 | 196 | $1K |
| H0049 | Alcohol and/or drug screening | <1% | 33 | 33 | $792.00 |
| 99490 | Ccm add 20min | <1% | 15 | 15 | $8.26 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 26 | 26 | $0.00 |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 0% | 45 | 43 | $0.00 |
2 more codes
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 | Crescent City, CA | $26.51M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.