Clinic
Open Door Health Services, INC.
Open Door Health Services, INC. was paid $3.82M by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoOPEN DOOR HEALTH SERVICES, INC.
MUNCIE, IN 47302
MUNCIE, IN 47302
33aNPI1770510240assigned 06/28/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.82M
24GClaims128,165
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
Rank by total paid#26 of 156
Median peer was paid$568K
This provider vs. median6.7×
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 | 6,936 | $144K | |
| 2019 | 8,339 | $341K | |
| 2020 | 8,696 | $335K | |
| 2021 | 19,473 | $679K | |
| 2022 | 26,096 | $683K | |
| 2023 | 35,520 | $952K | |
| 2024incomplete | 23,105 | $690K |
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 | 60% | 44,990 | 39,196 | $2.30M |
| 87428 | 12% | 13,611 | 11,568 | $475K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.5% | 4,997 | 4,270 | $323K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 7.7% | 40,485 | 31,178 | $294K |
| 98940 | 3.9% | 6,930 | 1,902 | $150K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.6% | 7,718 | 6,928 | $101K |
| 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 | 2.0% | 1,037 | 936 | $76K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 2,092 | 1,894 | $61K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 554 | 458 | $12K |
| 81025 | <1% | 1,274 | 1,176 | $9K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 360 | 327 | $6K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 297 | 55 | $5K |
9 more codes
| 81003 | <1% | 2,091 | $4K | |
| 81002 | <1% | 1,324 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 50 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 58 | $693.08 |
| 87807 | <1% | 61 | $491.73 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 73 | $227.05 |
| 99000 | <1% | 123 | $124.04 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 13 | $83.52 |
| 99429 | 0% | 27 | $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 officialESTEP, TONI (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Open Door Health Services, INC. | Anderson, IN | $167K |
| Open Door Health Services, INC. | Anderson, IN | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.