Medicaid Provider Spending

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

OPEN DOOR COMMUNITY HEALTH CENTERS

NPI: 1851486989 · EUREKA, CA 95501 · Federally Qualified Health Center (FQHC) · NPI assigned 10/04/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code 00003 with only 2 total codes billed. Highly concentrated billing profile.

$25.92M
Total Medicaid Paid
123,371
Total Claims
79,642
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialSTARR, VICTOR (PRESIDENT/CEO)
NPI Enumeration Date10/04/2006

Related Entities

Other providers sharing the same authorized official: STARR, VICTOR

ProviderCityStateTotal Paid
OPEN DOOR COMMUNITY HEALTH CENTERS CRESCENT CITY CA $26.51M
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 $8.48M
OPEN DOOR COMMUNITY HEALTH CENTERS ARCATA CA $7.49M
OPEN DOOR COMMUNITY HEALTH CENTERS FERNDALE CA $1.41M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 46,343 $9.11M
2019 19,698 $4.07M
2020 10,939 $2.33M
2021 13,024 $2.85M
2022 10,895 $2.41M
2023 15,474 $3.51M
2024 6,998 $1.63M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
00003 Internal/system code - not a standard HCPCS code 123,311 79,582 $25.92M
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 60 60 $1K