Physician
Open Door Community Health Centers
Open Door Community Health Centers was paid $5.26M by Medicaid between Jan 2018 and Dec 2024, across 34 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
WILLOW CREEK, CA 95573
WILLOW CREEK, CA 95573
33aNPI1730330739assigned 10/08/2008
33bProvider typeObstetrics Physician
28Total paid$5.26M
24GClaims69,910
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics Physician providers in California
Rank by total paid#5 of 52
Median peer was paid$64K
This provider vs. median82×
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 | 8,510 | $715K | |
| 2019 | 7,994 | $502K | |
| 2020 | 10,565 | $716K | |
| 2021 | 9,426 | $662K | |
| 2022 | 8,965 | $620K | |
| 2023 | 12,628 | $1.03M | |
| 2024incomplete | 11,822 | $1.01M |
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% | 26,102 | 20,729 | $5.12M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.1% | 1,465 | 551 | $57K |
| 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% | 20,452 | 11,421 | $21K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 860 | 351 | $16K |
| 80305 | <1% | 2,120 | 1,393 | $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% | 10,582 | 5,614 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,034 | 1,552 | $5K |
| 90686 | <1% | 360 | 270 | $5K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 776 | 491 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 227 | 127 | $2K |
| H0049 | Alcohol and/or drug screening | <1% | 936 | 934 | $1K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 21 | 13 | $1K |
22 more codes
| 90715 | <1% | 63 | $1K | |
| 91322 | <1% | 52 | $729.60 | |
| 99283 | Emergency room visit (moderate) | <1% | 483 | $651.10 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 102 | $434.56 |
| 92551 | <1% | 357 | $243.19 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 81 | $219.32 |
| 90656 | <1% | 22 | $211.84 | |
| 90480 | <1% | 52 | $200.00 | |
| 86703 | <1% | 30 | $153.44 | |
| 81002 | <1% | 468 | $146.92 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 26 | $131.55 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 34 | $113.60 |
| 81003 | <1% | 132 | $100.44 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 141 | $69.90 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 292 | $8.92 |
| 81000 | <1% | 15 | $5.16 | |
| 99173 | 0% | 210 | $0.00 | |
| 99442 | 0% | 261 | $0.00 | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 32 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 57 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 19 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 46 | $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)
Parent organizationOPEN DOOR COMMUNITY HEALTH CENTERS
| Provider | Location | Paid |
|---|---|---|
| Open Door Community Health Centers | Eureka, CA | $30.03M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.