Clinic
Open Door Community Health Centers
Open Door Community Health Centers was paid $8.68M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoOPEN DOOR COMMUNITY HEALTH CENTERS
MCKINLEYVILLE, CA 95519
MCKINLEYVILLE, CA 95519
33aNPI1598858169assigned 10/02/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$8.68M
24GClaims163,518
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#317 of 826
Median peer was paid$4.05M
This provider vs. median2.1×
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 | 17,326 | $1.02M | |
| 2019 | 22,855 | $1.09M | |
| 2020 | 24,206 | $1.20M | |
| 2021 | 25,939 | $1.34M | |
| 2022 | 21,736 | $1.08M | |
| 2023 | 25,812 | $1.42M | |
| 2024incomplete | 25,644 | $1.55M |
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 | 97% | 59,820 | 53,042 | $8.43M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 47,054 | 26,921 | $87K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,579 | 513 | $31K |
| 90686 | <1% | 2,443 | 1,759 | $23K | |
| 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% | 20,122 | 10,910 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,361 | 4,367 | $10K |
| H0049 | Alcohol and/or drug screening | <1% | 3,092 | 3,086 | $8K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,619 | 605 | $6K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 169 | 98 | $5K |
| 90715 | <1% | 305 | 207 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,554 | 868 | $5K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 165 | 87 | $5K |
58 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,296 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 257 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,330 | $4K |
| 90670 | <1% | 474 | $4K | |
| 92551 | <1% | 4,086 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 135 | $3K |
| 90648 | <1% | 438 | $3K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 433 | $3K |
| 0012A | <1% | 38 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 768 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 190 | $2K |
| 0011A | <1% | 24 | $2K | |
| 80305 | <1% | 255 | $2K | |
| 90723 | <1% | 144 | $1K | |
| 0134A | <1% | 32 | $1K | |
| 98929 | <1% | 14 | $916.48 | |
| 98928 | <1% | 20 | $867.75 | |
| 0004A | <1% | 12 | $737.00 | |
| 85018 | <1% | 4,071 | $652.04 | |
| 90633 | <1% | 93 | $612.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 56 | $549.50 |
| 90656 | <1% | 63 | $528.91 | |
| 99383 | <1% | 53 | $493.47 | |
| 83655 | <1% | 60 | $393.31 | |
| 90707 | <1% | 34 | $393.00 | |
| 81002 | <1% | 676 | $387.07 | |
| 90680 | <1% | 60 | $369.00 | |
| 81025 | <1% | 113 | $287.45 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 324 | $251.64 |
| 90716 | <1% | 23 | $232.01 | |
| 90688 | <1% | 12 | $226.75 | |
| 90619 | <1% | 39 | $216.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 51 | $205.80 |
| 99283 | Emergency room visit (moderate) | <1% | 377 | $190.03 |
| 99201 | <1% | 29 | $181.10 | |
| 90649 | <1% | 30 | $135.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 13 | $115.05 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 170 | $114.40 |
| 90651 | <1% | 24 | $108.00 | |
| 90734 | <1% | 12 | $99.00 | |
| 90744 | <1% | 19 | $90.00 | |
| 81000 | <1% | 81 | $80.30 | |
| 90698 | <1% | 16 | $72.00 | |
| 0064A | <1% | 14 | $67.00 | |
| 90662 | <1% | 15 | $50.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 469 | $35.68 |
| 87210 | <1% | 12 | $35.60 | |
| 99443 | 0% | 16 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 300 | $0.00 |
| 91306 | 0% | 13 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 23 | $0.00 |
| 90480 | 0% | 25 | $0.00 | |
| 99173 | 0% | 1,689 | $0.00 | |
| 99442 | 0% | 130 | $0.00 | |
| 91322 | 0% | 25 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 16 | $0.00 |
| 99188 | 0% | 29 | $0.00 | |
| 91313 | 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 | 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 | 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.