Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

OPEN DOOR HEALTH SERVICES, INC.

NPI: 1770510240 · MUNCIE, IN 47302 · Federally Qualified Health Center (FQHC) · NPI assigned 06/28/2006

$3.82M
Total Medicaid Paid
128,165
Total Claims
103,216
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialESTEP, TONI (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date06/28/2006

Related Entities

Other providers sharing the same authorized official: ESTEP, TONI

ProviderCityStateTotal Paid
OPEN DOOR HEALTH SERVICES, INC. ANDERSON IN $167K
OPEN DOOR HEALTH SERVICES, INC. ANDERSON IN $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 23,105 $690K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44,990 39,196 $2.30M
87428 13,611 11,568 $475K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,997 4,270 $323K
T1015 Clinic visit/encounter, all-inclusive 40,485 31,178 $294K
98940 6,930 1,902 $150K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,718 6,928 $101K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,037 936 $76K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,092 1,894 $61K
G0467 Federally 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 554 458 $12K
81025 1,274 1,176 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 360 327 $6K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 297 55 $5K
81003 2,091 1,783 $4K
81002 1,324 1,184 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 50 48 $2K
71046 Radiologic examination, chest; 2 views 58 46 $693.08
87807 61 60 $491.73
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 73 68 $227.05
99000 123 99 $124.04
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 13 13 $83.52
99429 27 27 $0.00