Medicaid Provider Spending

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

OPEN DOOR HEALTH SERVICES, INC.

NPI: 1902851082 · MUNCIE, IN 47305 · Federally Qualified Health Center (FQHC) · NPI assigned 05/24/2006

$15.04M
Total Medicaid Paid
462,416
Total Claims
351,042
Beneficiaries
122
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialAYARS, BRYAN (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date05/24/2006

Related Entities

Other providers sharing the same authorized official: AYARS, BRYAN

ProviderCityStateTotal Paid
OPEN DOOR HEALTH SERVICES, INC. MUNCIE IN $2.97M
OPEN DOOR HEALTH SERVICES, INC. MUNCIE IN $617K
OPEN DOOR HEALTH SERVICES, INC. MUNCIE IN $130K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 58,213 $1.08M
2019 47,682 $2.07M
2020 36,199 $1.59M
2021 70,931 $2.57M
2022 103,997 $3.04M
2023 80,150 $2.47M
2024 65,244 $2.21M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 71,585 60,305 $3.15M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 41,763 35,775 $2.80M
T1015 Clinic visit/encounter, all-inclusive 133,383 92,875 $1.57M
90837 Psychotherapy, 53 minutes with patient 18,093 10,311 $1.43M
90834 Psychotherapy, 45 minutes with patient 17,727 10,543 $925K
59426 6,869 4,010 $493K
59425 6,977 5,691 $461K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,375 3,518 $301K
90791 Psychiatric diagnostic evaluation 3,610 3,074 $296K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,556 3,137 $265K
90832 Psychotherapy, 30 minutes with patient 6,895 5,029 $255K
D9999 Unspecified adjunctive procedure, by report 11,857 8,499 $213K
D1110 Prophylaxis - adult 6,113 5,023 $211K
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 7,060 5,679 $151K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,548 1,594 $143K
D7140 Extraction, erupted tooth or exposed root 3,136 1,297 $141K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,178 4,520 $139K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,663 1,535 $123K
D0210 Intraoral - complete series of radiographic images 3,394 2,673 $112K
D0120 Periodic oral evaluation - established patient 6,481 5,309 $111K
87428 2,314 1,811 $106K
D0150 Comprehensive oral evaluation - new or established patient 3,816 3,114 $105K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,417 1,289 $102K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,287 1,175 $95K
D0140 Limited oral evaluation - problem focused 3,047 2,494 $81K
99215 Prolong outpt/office vis 748 678 $80K
90847 Family psychotherapy with the patient present, 50 minutes 1,280 963 $78K
D0330 Panoramic radiographic image 3,314 2,709 $70K
59430 555 429 $69K
D0274 Bitewings - four radiographic images 2,697 2,216 $69K
99238 Hospital discharge day management, 30 minutes or less 1,440 1,160 $65K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,463 919 $61K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,555 1,301 $59K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 110 88 $48K
80305 4,497 3,287 $46K
20610 1,500 795 $46K
83036 Hemoglobin; glycosylated (A1C) 8,785 7,980 $46K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 727 488 $46K
90686 5,509 4,671 $36K
90472 Immunization administration, each additional vaccine (list separately) 3,454 2,665 $34K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 455 428 $33K
D1206 Topical application of fluoride varnish 2,287 1,890 $32K
D1120 Prophylaxis - child 1,199 993 $31K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,804 4,471 $30K
D0220 Intraoral - periapical first radiographic image 2,942 2,421 $25K
81025 4,733 3,943 $25K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit 1,338 789 $22K
98940 1,098 388 $20K
J1040 Injection, methylprednisolone acetate, 80 mg 1,394 941 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,392 1,180 $16K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 349 300 $15K
G9997 Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter 498 244 $13K
J3490 Unclassified drugs 282 243 $11K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,576 1,275 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 596 535 $9K
20552 465 320 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 360 324 $8K
99223 Prolong inpt eval add15 m 61 47 $7K
90715 761 661 $7K
83655 591 489 $6K
96156 91 70 $5K
99233 Prolong inpt eval add15 m 107 58 $5K
99460 85 73 $5K
99383 61 56 $5K
99385 49 43 $4K
81002 2,743 2,166 $4K
D2332 54 41 $4K
96127 1,124 927 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 280 253 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 95 53 $3K
99354 47 32 $2K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 37 28 $2K
98960 155 119 $2K
D0230 Intraoral - periapical each additional radiographic image 320 159 $2K
59025 Fetal non-stress test 70 41 $2K
85018 969 804 $2K
99000 1,147 853 $1K
99382 18 16 $1K
D2330 17 13 $1K
D0272 Bitewings - two radiographic images 89 76 $1K
J1010 Injection, methylprednisolone acetate, 1 mg 172 115 $1K
81003 853 726 $1K
90670 2,376 1,999 $1K
99221 13 12 $905.65
90649 231 197 $859.55
96137 20 12 $783.40
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 73 62 $625.94
96136 39 26 $564.52
90677 35 28 $547.70
90734 441 376 $515.58
90621 83 66 $483.32
87807 42 37 $455.75
90853 Group psychotherapy (other than of a multiple-family group) 21 15 $336.69
90620 49 38 $332.93
82962 386 308 $283.30
86701 48 38 $212.64
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 34 21 $187.05
90707 92 75 $140.12
90680 496 414 $88.84
90688 148 123 $81.39
90723 827 693 $76.84
90633 983 819 $66.47
90656 28 26 $35.12
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 829 516 $13.41
90648 632 517 $0.00
3078F 793 741 $0.00
90681 39 39 $0.00
3077F 308 283 $0.00
2028F 248 216 $0.00
90396 16 16 $0.00
90710 48 41 $0.00
3074F 1,366 1,273 $0.00
90698 732 634 $0.00
3079F 679 638 $0.00
D1330 1,341 1,185 $0.00
3080F 113 104 $0.00
90696 36 29 $0.00
90716 92 69 $0.00
3075F 61 57 $0.00
D9995 13 12 $0.00
90694 14 12 $0.00
90744 49 42 $0.00