Clinic
Open Door Health Services, INC.
Open Door Health Services, INC. was paid $15.04M by Medicaid between Jan 2018 and Dec 2024, across 122 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoOPEN DOOR HEALTH SERVICES, INC.
MUNCIE, IN 47305
MUNCIE, IN 47305
33aNPI1902851082assigned 05/24/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$15.04M
24GClaims462,416
24DCodes billed122
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
Rank by total paid#4 of 156
Median peer was paid$568K
This provider vs. median26×
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 | 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 | |
| 2024incomplete | 65,244 | $2.21M |
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 | 21% | 71,585 | 60,305 | $3.15M |
| 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 | 19% | 41,763 | 35,775 | $2.80M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 10% | 133,383 | 92,875 | $1.57M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 9.5% | 18,093 | 10,311 | $1.43M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.1% | 17,727 | 10,543 | $925K |
| 59426 | 3.3% | 6,869 | 4,010 | $493K | |
| 59425 | 3.1% | 6,977 | 5,691 | $461K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 4,375 | 3,518 | $301K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.0% | 3,610 | 3,074 | $296K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 3,556 | 3,137 | $265K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.7% | 6,895 | 5,029 | $255K |
| D9999 | Unspecified adjunctive procedure, by report | 1.4% | 11,857 | 8,499 | $213K |
110 more codes
| D1110 | Prophylaxis - adult | 1.4% | 6,113 | $211K |
| G0467 | Community health center visit, returning patient | 1.0% | 7,060 | $151K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 2,548 | $143K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 3,136 | $141K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,178 | $139K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,663 | $123K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 3,394 | $112K |
| D0120 | Dental checkup, returning patient | <1% | 6,481 | $111K |
| 87428 | <1% | 2,314 | $106K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 3,816 | $105K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,417 | $102K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,287 | $95K |
| D0140 | Limited oral evaluation - problem focused | <1% | 3,047 | $81K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 748 | $80K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 1,280 | $78K |
| D0330 | Panoramic radiographic image | <1% | 3,314 | $70K |
| 59430 | <1% | 555 | $69K | |
| D0274 | Bitewings - four radiographic images | <1% | 2,697 | $69K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,440 | $65K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,463 | $61K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,555 | $59K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 110 | $48K |
| 80305 | <1% | 4,497 | $46K | |
| 20610 | <1% | 1,500 | $46K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 8,785 | $46K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 727 | $46K |
| 90686 | <1% | 5,509 | $36K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,454 | $34K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 455 | $33K |
| D1206 | Topical application of fluoride varnish | <1% | 2,287 | $32K |
| D1120 | Dental cleaning, child | <1% | 1,199 | $31K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,804 | $30K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,942 | $25K |
| 81025 | <1% | 4,733 | $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% | 1,338 | $22K |
| 98940 | <1% | 1,098 | $20K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 1,394 | $16K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,392 | $16K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 349 | $15K |
| G9997 | Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter | <1% | 498 | $13K |
| J3490 | Unclassified drugs | <1% | 282 | $11K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,576 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 596 | $9K |
| 20552 | <1% | 465 | $9K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 360 | $8K |
| 99223 | Prolong inpt eval add15 m | <1% | 61 | $7K |
| 90715 | <1% | 761 | $7K | |
| 83655 | <1% | 591 | $6K | |
| 96156 | <1% | 91 | $5K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 107 | $5K |
| 99460 | <1% | 85 | $5K | |
| 99383 | <1% | 61 | $5K | |
| 99385 | <1% | 49 | $4K | |
| 81002 | <1% | 2,743 | $4K | |
| D2332 | <1% | 54 | $4K | |
| 96127 | <1% | 1,124 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 280 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 95 | $3K |
| 99354 | <1% | 47 | $2K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 37 | $2K |
| 98960 | <1% | 155 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 320 | $2K |
| 59025 | Fetal non-stress test | <1% | 70 | $2K |
| 85018 | <1% | 969 | $2K | |
| 99000 | <1% | 1,147 | $1K | |
| 99382 | <1% | 18 | $1K | |
| D2330 | <1% | 17 | $1K | |
| D0272 | Bitewings - two radiographic images | <1% | 89 | $1K |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 172 | $1K |
| 81003 | <1% | 853 | $1K | |
| 90670 | <1% | 2,376 | $1K | |
| 99221 | <1% | 13 | $905.65 | |
| 90649 | <1% | 231 | $859.55 | |
| 96137 | <1% | 20 | $783.40 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 73 | $625.94 |
| 96136 | <1% | 39 | $564.52 | |
| 90677 | <1% | 35 | $547.70 | |
| 90734 | <1% | 441 | $515.58 | |
| 90621 | <1% | 83 | $483.32 | |
| 87807 | <1% | 42 | $455.75 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 21 | $336.69 |
| 90620 | <1% | 49 | $332.93 | |
| 82962 | <1% | 386 | $283.30 | |
| 86701 | <1% | 48 | $212.64 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 34 | $187.05 |
| 90707 | <1% | 92 | $140.12 | |
| 90680 | <1% | 496 | $88.84 | |
| 90688 | <1% | 148 | $81.39 | |
| 90723 | <1% | 827 | $76.84 | |
| 90633 | <1% | 983 | $66.47 | |
| 90656 | <1% | 28 | $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 | <1% | 829 | $13.41 |
| 90648 | 0% | 632 | $0.00 | |
| 3078F | 0% | 793 | $0.00 | |
| 90681 | 0% | 39 | $0.00 | |
| 3077F | 0% | 308 | $0.00 | |
| 2028F | 0% | 248 | $0.00 | |
| 90396 | 0% | 16 | $0.00 | |
| 90710 | 0% | 48 | $0.00 | |
| 3074F | 0% | 1,366 | $0.00 | |
| 90698 | 0% | 732 | $0.00 | |
| 3079F | 0% | 679 | $0.00 | |
| D1330 | 0% | 1,341 | $0.00 | |
| 3080F | 0% | 113 | $0.00 | |
| 90696 | 0% | 36 | $0.00 | |
| 90716 | 0% | 92 | $0.00 | |
| 3075F | 0% | 61 | $0.00 | |
| D9995 | 0% | 13 | $0.00 | |
| 90694 | 0% | 14 | $0.00 | |
| 90744 | 0% | 49 | $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 officialAYARS, BRYAN (CHIEF EXECUTIVE OFFICER)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.