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OPEN DOOR FAMILY MEDICAL CENTER, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·OSSINING, NY·NPI: 1467487637Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $35.4M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$35.4M

$35,371,467

Total Claims

594K

Beneficiaries

414K

1.4 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$5.8M
+3%
2019
$6.0M
-17%
2020
$5.0M
+19%
2021
$5.9M
-27%
2022
$4.3M
+7%
2023
$4.6M
-19%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 44% of total spending.

99213Top 5%

Office/outpatient visit, est. patient, low-mod complexity

$15.6M

159K claims · 44.2%

Your Cost: $98.62/claim|Median: $37.81
2.6× median
99212Top 10%

Office/outpatient visit, low complexity

$3.0M

35K claims · 8.4%

Your Cost: $85.35/claim|Median: $25.06
3.4× median
90832Top 25%

Psychotherapy, 30 minutes

$2.1M

35K claims · 5.9%

Your Cost: $60.72/claim|Median: $41.28
1.5× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$1.5M

14K claims · 4.3%

Your Cost: $108.38/claim|Median: $75.18
1.4× median
92014Top 5%

Ophthalmological exam, comprehensive, established patient

$1.2M

11K claims · 3.5%

Your Cost: $109.22/claim|Median: $47.08
2.3× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.2M

13K claims · 3.4%

Your Cost: $92.65/claim|Median: $69.35
1.3× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$1.0M

14K claims · 2.9%

Your Cost: $70.82/claim|Median: $13.30
5.3× median
99214Top 10%

Office/outpatient visit, est. patient, mod-high complexity

$1.0M

9,777 claims · 2.9%

Your Cost: $103.67/claim|Median: $53.41
1.9× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$989K

9,966 claims · 2.8%

Your Cost: $99.24/claim|Median: $74.82
1.3× median
D0120Normal range

Periodic oral evaluation, established patient

$808K

48K claims · 2.3%

Your Cost: $16.72/claim|Median: $24.34
0.7× median
0502FTop 5%

$663K

7,700 claims · 1.9%

Your Cost: $86.09/claim|Median: $44.10
2.0× median
D1110Normal range

Prophylaxis, adult cleaning

$607K

14K claims · 1.7%

Your Cost: $43.35/claim|Median: $43.38
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$572K

7,474 claims · 1.6%

Your Cost: $76.57/claim|Median: $80.15
1.0× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$550K

5,866 claims · 1.6%

Your Cost: $93.79/claim|Median: $22.44
4.2× median
92012Top 5%

Ophthalmological exam, intermediate, established patient

$537K

5,927 claims · 1.5%

Your Cost: $90.63/claim|Median: $38.23
2.4× median
D2391Normal range

Resin-based composite, one surface, posterior

$311K

7,279 claims · 0.9%

Your Cost: $42.66/claim|Median: $54.60
0.8× median
G0008Top 10%

$297K

17K claims · 0.8%

Your Cost: $17.66/claim|Median: $2.54
7.0× median
V2100Top 5%

Lens, sphere, single vision, plus or minus 4.00

$282K

5,136 claims · 0.8%

Your Cost: $54.87/claim|Median: $20.68
2.7× median
D1120Normal range

Prophylaxis, adult

$244K

11K claims · 0.7%

Your Cost: $22.53/claim|Median: $33.86
0.7× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$241K

13K claims · 0.7%

Your Cost: $18.29/claim|Median: $17.85
1.0× median
92004Top 10%

Ophthalmological exam, comprehensive, new patient

$200K

1,690 claims · 0.6%

Your Cost: $118.29/claim|Median: $59.72
2.0× median
T2022Normal range

Case management, per month

$169K

1,909 claims · 0.5%

Your Cost: $88.57/claim|Median: $202.77
0.4× median
L3010Normal range

Foot insert, removable, longitudinal-metatarsal support, each

$148K

1,300 claims · 0.4%

Your Cost: $113.65/claim|Median: $133.98
0.8× median
92340Top 10%

Fitting of spectacles, except for aphakia

$146K

4,446 claims · 0.4%

Your Cost: $32.81/claim|Median: $19.46
1.7× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$146K

1,053 claims · 0.4%

Your Cost: $138.28/claim|Median: $76.06
1.8× median
D0274Normal range

Bitewings, four radiographic images

$143K

10K claims · 0.4%

Your Cost: $14.10/claim|Median: $22.54
0.6× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$137K

1,077 claims · 0.4%

Your Cost: $127.15/claim|Median: $72.71
1.7× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$114K

6,438 claims · 0.3%

Your Cost: $17.69/claim|Median: $32.07
0.6× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$104K

1,886 claims · 0.3%

Your Cost: $54.92/claim|Median: $71.00
0.8× median
D0330Normal range

Panoramic radiographic image

$100K

6,297 claims · 0.3%

Your Cost: $15.89/claim|Median: $37.36
0.4× median
D1206Top 5%

Topical application of fluoride varnish

$93K

2,164 claims · 0.3%

Your Cost: $42.78/claim|Median: $18.12
2.4× median
90791Normal range

Psychiatric diagnostic evaluation

$89K

865 claims · 0.3%

Your Cost: $102.50/claim|Median: $99.21
1.0× median
G0009Top 25%

$76K

4,429 claims · 0.2%

Your Cost: $17.14/claim|Median: $4.11
4.2× median
G0467Normal range

Federally qualified health center visit, mental health

$67K

2,712 claims · 0.2%

Your Cost: $24.78/claim|Median: $21.91
1.1× median
D1351Normal range

Sealant, per tooth

$58K

3,346 claims · 0.2%

Your Cost: $17.37/claim|Median: $26.10
0.7× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$54K

777 claims · 0.2%

Your Cost: $68.95/claim|Median: $32.55
2.1× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$53K

1,432 claims · 0.1%

Your Cost: $36.68/claim|Median: $36.70
1.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$52K

1,635 claims · 0.1%

Your Cost: $31.97/claim|Median: $33.72
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$43K

1,328 claims · 0.1%

Your Cost: $32.35/claim|Median: $27.07
1.2× median
90688Top 25%

$34K

1,950 claims · 0.1%

Your Cost: $17.30/claim|Median: $9.00
1.9× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$27K

1,071 claims · 0.1%

Your Cost: $25.06/claim|Median: $33.85
0.7× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$26K

6,027 claims · 0.1%

Your Cost: $4.36/claim|Median: $7.33
0.6× median
0071ANormal range

$26K

645 claims · 0.1%

Your Cost: $39.57/claim|Median: $38.71
1.0× median
99401Normal range

$25K

2,497 claims · 0.1%

Your Cost: $9.86/claim|Median: $16.53
0.6× median
96110Normal range

Developmental screening, per standardized instrument

$24K

1,816 claims · 0.1%

Your Cost: $13.46/claim|Median: $9.10
1.5× median
0072ANormal range

$23K

586 claims · 0.1%

Your Cost: $40.00/claim|Median: $39.57
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$21K

1,877 claims · 0.1%

Your Cost: $11.23/claim|Median: $10.51
1.1× median
97803Top 25%

Medical nutrition therapy, reassessment, group, thirty minutes

$19K

339 claims · 0.1%

Your Cost: $56.19/claim|Median: $24.33
2.3× median
0064ANormal range

$19K

476 claims · 0.1%

Your Cost: $40.00/claim|Median: $34.17
1.2× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$19K

1,021 claims · 0.1%

Your Cost: $18.29/claim|Median: $25.93
0.7× median

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