NP / PA
Open Door Wellness LLC,
Open Door Wellness LLC, was paid $1K by Medicaid between Oct 2024 and Oct 2024, across 1 billing code. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 100% of everything it billed.
33Billing provider infoOPEN DOOR WELLNESS LLC,
ROCKLAND, ME 04841
ROCKLAND, ME 04841
33aNPI1841079407assigned 09/25/2023
33bProvider typeAdult Health Nurse Practitioner
28Total paid$1K
24GClaims15
24DCodes billed1
24AFirst – last monthOct 2024 – Oct 2024
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 | |
|---|---|---|---|
| 2024incomplete | 15 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 100% | 15 | 13 | $1K |
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 officialVAN BOURGONDIEN, DOLORES (DIRECTOR)