Clinic
Open Door Family Medical Center INC
Open Door Family Medical Center INC was paid $5.31M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoOPEN DOOR FAMILY MEDICAL CENTER INC
SLEEPY HOLLOW, NY 10591
SLEEPY HOLLOW, NY 10591
33aNPI1619136140assigned 06/09/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$5.31M
24GClaims87,528
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New York
Rank by total paid#51 of 158
Median peer was paid$1.73M
This provider vs. median3.1×
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 | 10,385 | $774K | |
| 2019 | 11,315 | $854K | |
| 2020 | 15,906 | $979K | |
| 2021 | 19,294 | $1.16M | |
| 2022 | 11,958 | $538K | |
| 2023 | 9,534 | $461K | |
| 2024incomplete | 9,136 | $544K |
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 | 61% | 37,505 | 24,543 | $3.25M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 14% | 12,997 | 6,705 | $726K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 1,276 | 1,097 | $140K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.6% | 1,155 | 1,128 | $138K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 1,116 | 1,089 | $137K |
| 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 | 2.2% | 1,707 | 935 | $119K |
| 99441 | 2.2% | 1,297 | 1,170 | $117K | |
| D1110 | Prophylaxis - adult | 1.7% | 3,305 | 1,585 | $88K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 699 | 575 | $79K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 1,371 | 885 | $71K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.1% | 4,686 | 1,372 | $61K |
| 99442 | 1.1% | 611 | 559 | $57K |
39 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,274 | $44K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,212 | $43K |
| 99443 | <1% | 542 | $35K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 288 | $30K |
| G0008 | Administration of influenza virus vaccine | <1% | 1,548 | $28K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 194 | $22K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 911 | $20K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 348 | $19K |
| D0274 | Bitewings - four radiographic images | <1% | 1,294 | $17K |
| D0140 | Limited oral evaluation - problem focused | <1% | 428 | $15K |
| G0009 | Administration of pneumococcal vaccine | <1% | 769 | $14K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 102 | $12K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 863 | $5K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 69 | $5K |
| T2022 | Case management, per month | <1% | 59 | $5K |
| D0330 | Panoramic radiographic image | <1% | 183 | $4K |
| D1310 | <1% | 317 | $3K | |
| 99381 | <1% | 13 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 126 | $2K |
| 97803 | <1% | 28 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 253 | $945.10 |
| 97802 | <1% | 25 | $930.00 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 231 | $860.19 |
| D1120 | Dental cleaning, child | <1% | 97 | $770.39 |
| 0071A | <1% | 18 | $720.00 | |
| G0467 | Community health center visit, returning patient | <1% | 29 | $703.16 |
| 85018 | <1% | 345 | $686.00 | |
| 87254 | <1% | 72 | $490.78 | |
| 92551 | <1% | 1,553 | $284.45 | |
| 94760 | <1% | 2,150 | $244.78 | |
| 0011A | <1% | 31 | $218.27 | |
| 88720 | <1% | 34 | $170.68 | |
| 0012A | <1% | 19 | $92.21 | |
| D0270 | <1% | 12 | $38.01 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 13 | $33.00 |
| 99173 | <1% | 1,763 | $19.03 | |
| 81025 | 0% | 32 | $0.00 | |
| D1330 | 0% | 546 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 12 | $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 officialFARRELL, LINDSAY (PRESIDENT AND CEO)
Parent organizationOPEN DOOR FAMILY MEDICAL CENTER INC
| Provider | Location | Paid |
|---|---|---|
| Open Door Family Medical Center, INC. | Ossining, NY | $35.37M |
| Open Door Family Medical Center INC | Port Chester, NY | $19.42M |
| Open Door Family Medical Center, INC. | Mount Kisco, NY | $2.60M |
| Open Door Family Medical Center, INC. | Mamaroneck, NY | $1.14M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.