Clinic
Open Door Community Health Centers
Open Door Community Health Centers was paid $30.03M by Medicaid between Jan 2018 and Dec 2024, across 112 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoOPEN DOOR COMMUNITY HEALTH CENTERS
EUREKA, CA 95501
EUREKA, CA 95501
33aNPI1669569109assigned 10/06/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$30.03M
24GClaims630,619
24DCodes billed112
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#122 of 826
Median peer was paid$4.05M
This provider vs. median7.4×
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 | 68,877 | $3.67M | |
| 2019 | 85,980 | $3.70M | |
| 2020 | 96,233 | $3.99M | |
| 2021 | 87,938 | $4.33M | |
| 2022 | 86,424 | $3.78M | |
| 2023 | 103,556 | $5.22M | |
| 2024incomplete | 101,611 | $5.34M |
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 | 95% | 201,559 | 177,525 | $28.45M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 183,692 | 106,156 | $332K |
| 90686 | <1% | 13,849 | 9,824 | $117K | |
| 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% | 49,547 | 28,019 | $102K |
| 97802 | <1% | 569 | 565 | $98K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 4,375 | 1,861 | $84K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,414 | 1,409 | $81K |
| G9920 | Screening performed and negative | <1% | 4,725 | 2,711 | $67K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,799 | 687 | $50K |
| 97803 | <1% | 481 | 476 | $44K | |
| H0049 | Alcohol and/or drug screening | <1% | 9,609 | 9,575 | $38K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 8,806 | 6,380 | $36K |
100 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,255 | $36K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 11,319 | $35K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 5,098 | $34K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18,649 | $29K |
| 90670 | <1% | 4,339 | $28K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 483 | $24K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 8,463 | $23K |
| 90698 | <1% | 3,130 | $18K | |
| 80305 | <1% | 2,811 | $17K | |
| 90715 | <1% | 1,008 | $17K | |
| 90651 | <1% | 1,993 | $17K | |
| 92551 | <1% | 19,941 | $15K | |
| 90744 | <1% | 2,326 | $14K | |
| 90732 | <1% | 224 | $14K | |
| 90633 | <1% | 2,185 | $13K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,485 | $12K |
| 90680 | <1% | 2,092 | $12K | |
| 91322 | <1% | 491 | $10K | |
| 90677 | <1% | 76 | $9K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,690 | $8K |
| 90480 | <1% | 947 | $7K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 564 | $7K |
| 90671 | <1% | 1,233 | $7K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 799 | $6K |
| 0002A | <1% | 85 | $6K | |
| 0064A | <1% | 84 | $5K | |
| 0001A | <1% | 83 | $5K | |
| 0072A | <1% | 78 | $5K | |
| 0112A | <1% | 77 | $5K | |
| 90656 | <1% | 800 | $5K | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 291 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 763 | $4K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 21 | $4K |
| 0071A | <1% | 59 | $4K | |
| 90697 | <1% | 735 | $4K | |
| 90710 | <1% | 607 | $4K | |
| J3490 | Unclassified drugs | <1% | 66 | $4K |
| 83655 | <1% | 724 | $4K | |
| 90734 | <1% | 662 | $4K | |
| 90696 | <1% | 563 | $3K | |
| 90746 | <1% | 87 | $3K | |
| 90716 | <1% | 459 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 370 | $3K |
| 85018 | <1% | 17,953 | $3K | |
| 0004A | <1% | 47 | $3K | |
| 90685 | <1% | 506 | $3K | |
| 11721 | <1% | 193 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 364 | $2K |
| 90700 | <1% | 333 | $2K | |
| 90688 | <1% | 294 | $2K | |
| 90707 | <1% | 316 | $2K | |
| 99283 | Emergency room visit (moderate) | <1% | 2,189 | $2K |
| 99381 | <1% | 116 | $2K | |
| 81000 | <1% | 1,878 | $2K | |
| 0134A | <1% | 82 | $2K | |
| 81025 | <1% | 659 | $1K | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 493 | $1K |
| 81002 | <1% | 1,928 | $1K | |
| 99383 | <1% | 125 | $1K | |
| 0111A | <1% | 16 | $1K | |
| 0124A | <1% | 30 | $1K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 199 | $994.18 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 755 | $993.76 |
| 87210 | <1% | 331 | $876.50 | |
| 0074A | <1% | 12 | $804.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,317 | $743.61 |
| 90619 | <1% | 121 | $731.00 | |
| 90662 | <1% | 110 | $687.02 | |
| 90648 | <1% | 73 | $531.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 113 | $397.38 |
| 81015 | <1% | 222 | $345.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 83 | $308.70 |
| 85610 | <1% | 164 | $214.28 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 28 | $183.17 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,262 | $171.08 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 45 | $150.90 |
| 90621 | <1% | 24 | $117.00 | |
| 90713 | <1% | 15 | $117.00 | |
| 99382 | <1% | 12 | $47.13 | |
| 93000 | <1% | 37 | $28.70 | |
| 86580 | <1% | 41 | $20.16 | |
| 91321 | <1% | 116 | $17.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 165 | $16.96 |
| 99173 | <1% | 8,342 | $5.29 | |
| 90474 | 0% | 300 | $0.00 | |
| 99441 | 0% | 676 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 274 | $0.00 |
| 99443 | 0% | 220 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 100 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 30 | $0.00 |
| G0009 | Administration of pneumococcal vaccine | 0% | 13 | $0.00 |
| 99490 | Ccm add 20min | 0% | 1,122 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 151 | $0.00 |
| 99442 | 0% | 1,539 | $0.00 | |
| 99188 | 0% | 264 | $0.00 | |
| 97810 | 0% | 58 | $0.00 | |
| 91313 | 0% | 53 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 24 | $0.00 |
| 99397 | 0% | 17 | $0.00 | |
| 97813 | 0% | 29 | $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 officialSPETZLER, CHEYENNE (COO)
| Provider | Location | Paid |
|---|---|---|
| Open Door Community Health Centers | Willow Creek, CA | $5.26M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.