Physician
Open Door Community Health Centers
Open Door Community Health Centers was paid $8.48M by Medicaid between Jan 2018 and Apr 2024, across 55 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
ARCATA, CA 95521
ARCATA, CA 95521
33aNPI1689778813assigned 09/08/2006
33bProvider typeObstetrics Physician
28Total paid$8.48M
24GClaims149,260
24DCodes billed55
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Obstetrics Physician providers in California
Rank by total paid#3 of 52
Median peer was paid$64K
This provider vs. median133×
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 | 19,932 | $1.18M | |
| 2019 | 19,674 | $965K | |
| 2020 | 24,497 | $1.21M | |
| 2021 | 28,927 | $1.67M | |
| 2022 | 22,997 | $1.33M | |
| 2023 | 25,754 | $1.63M | |
| 2024incomplete | 7,479 | $498K |
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% | 58,354 | 50,670 | $8.06M |
| 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% | 43,497 | 25,625 | $64K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 4,082 | 1,505 | $49K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 9,966 | 6,082 | $35K |
| 80305 | <1% | 3,471 | 2,338 | $31K | |
| 90686 | <1% | 2,167 | 1,706 | $28K | |
| 0012A | <1% | 302 | 301 | $20K | |
| 0011A | <1% | 293 | 293 | $20K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,099 | 705 | $18K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 551 | 335 | $15K |
| 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% | 16,250 | 8,885 | $14K |
| H0049 | Alcohol and/or drug screening | <1% | 659 | 659 | $13K |
43 more codes
| 0002A | <1% | 185 | $12K | |
| 0064A | <1% | 178 | $12K | |
| 0001A | <1% | 171 | $11K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,684 | $11K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,122 | $9K |
| 98928 | <1% | 98 | $6K | |
| 0072A | <1% | 95 | $6K | |
| 0004A | <1% | 88 | $6K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 377 | $5K |
| 0071A | <1% | 72 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 199 | $5K |
| 0124A | <1% | 71 | $5K | |
| 91322 | <1% | 54 | $4K | |
| 0134A | <1% | 36 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 235 | $2K |
| 90480 | <1% | 80 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 102 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 92 | $926.10 |
| 81025 | <1% | 392 | $892.57 | |
| 0031A | <1% | 13 | $871.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 228 | $829.71 |
| 90715 | <1% | 30 | $814.35 | |
| 0111A | <1% | 12 | $804.00 | |
| 81000 | <1% | 461 | $518.54 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 163 | $406.12 |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 99 | $268.36 |
| 87210 | <1% | 94 | $260.55 | |
| 81015 | <1% | 186 | $257.50 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 268 | $171.60 |
| 90670 | <1% | 43 | $171.00 | |
| 81002 | <1% | 261 | $153.43 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 23 | $80.56 |
| 90744 | <1% | 19 | $63.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 211 | $57.98 |
| 99283 | Emergency room visit (moderate) | <1% | 327 | $25.99 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 21 | $6.99 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $1.01 |
| 99442 | 0% | 522 | $0.00 | |
| 99173 | 0% | 155 | $0.00 | |
| 90662 | 0% | 12 | $0.00 | |
| 99443 | 0% | 21 | $0.00 | |
| 85018 | 0% | 19 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 37 | $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 | Mckinleyville, CA | $8.68M |
| 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.