Physician
Open Door Community Health Centers
Open Door Community Health Centers was paid $7.49M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 84% of everything it billed.
33Billing provider infoOPEN DOOR COMMUNITY HEALTH CENTERS
ARCATA, CA 95521
ARCATA, CA 95521
33aNPI1922318047assigned 10/08/2010
33bProvider typeObstetrics Physician
28Total paid$7.49M
24GClaims81,675
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics Physician providers in California
Rank by total paid#4 of 52
Median peer was paid$64K
This provider vs. median117×
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 | 8,570 | $923K | |
| 2019 | 7,440 | $745K | |
| 2020 | 12,442 | $868K | |
| 2021 | 13,590 | $989K | |
| 2022 | 10,972 | $878K | |
| 2023 | 14,369 | $1.40M | |
| 2024incomplete | 14,292 | $1.69M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 84% | 43,062 | 31,699 | $6.28M |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 7.8% | 7,124 | 6,204 | $587K |
| 59425 | 4.1% | 3,706 | 3,270 | $305K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 12,240 | 6,474 | $188K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 515 | 500 | $32K |
| 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 | <1% | 696 | 385 | $17K |
| H1000 | Prenatal care, at-risk assessment | <1% | 78 | 78 | $14K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 706 | 624 | $11K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 609 | 548 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 771 | 424 | $11K |
| 96156 | <1% | 359 | 308 | $9K | |
| 96151 | <1% | 308 | 217 | $9K |
24 more codes
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 208 | $4K |
| 99401 | <1% | 136 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 482 | $2K |
| 99402 | <1% | 66 | $2K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 31 | $1K |
| 85018 | <1% | 586 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 541 | $936.63 |
| 99460 | <1% | 528 | $778.80 | |
| 96150 | <1% | 28 | $538.49 | |
| 59025 | Fetal non-stress test | <1% | 32 | $423.16 |
| 81002 | <1% | 305 | $394.90 | |
| 90686 | <1% | 12 | $238.91 | |
| S9446 | Patient education, not otherwise classified, non-physician provider, group, per session | <1% | 14 | $228.20 |
| 81025 | <1% | 136 | $198.19 | |
| 81000 | <1% | 65 | $188.32 | |
| Z6414 | 0% | 538 | $0.00 | |
| Z6400 | 0% | 157 | $0.00 | |
| Z6300 | 0% | 156 | $0.00 | |
| Z6304 | 0% | 66 | $0.00 | |
| Z1032 | 0% | 128 | $0.00 | |
| Z1034 | 0% | 7,086 | $0.00 | |
| Z6402 | 0% | 156 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 28 | $0.00 |
| 99462 | 0% | 16 | $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 officialSTARR, VICTOR (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Open Door Community Health Centers | Crescent City, CA | $26.51M |
| Open Door Community Health Centers | Eureka, CA | $25.92M |
| 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 | Ferndale, CA | $1.41M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.