Clinic
LA Esperanza Clinic, INC.
LA Esperanza Clinic, INC. was paid $568K by Medicaid between Jan 2018 and Aug 2021, across 26 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
33Billing provider infoLA ESPERANZA CLINIC, INC.
SAN ANGELO, TX 76903
SAN ANGELO, TX 76903
33aNPI1043489347assigned 02/21/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$568K
24GClaims8,365
24DCodes billed26
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#146 of 248
Median peer was paid$796K
This provider vs. median0.7×
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 | 101 | $18K | |
| 2019 | 364 | $44K | |
| 2020 | 2,177 | $149K | |
| 2021 | 5,723 | $358K |
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 | 78% | 2,977 | 2,205 | $443K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.4% | 1,282 | 1,139 | $42K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.3% | 389 | 321 | $30K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.5% | 231 | 231 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 202 | 201 | $12K |
| 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 | 2.0% | 292 | 270 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 170 | 148 | $9K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 74 | 73 | $6K |
| 99000 | <1% | 211 | 198 | $939.60 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 77 | 76 | $69.45 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 637 | 632 | $15.68 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 538 | 340 | $15.68 |
14 more codes
| 92551 | <1% | 276 | $1.49 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 194 | $1.12 |
| 90686 | <1% | 187 | $0.01 | |
| 90656 | 0% | 17 | $0.00 | |
| 90723 | 0% | 14 | $0.00 | |
| 90651 | 0% | 44 | $0.00 | |
| 90633 | 0% | 84 | $0.00 | |
| 90710 | 0% | 13 | $0.00 | |
| 90670 | 0% | 73 | $0.00 | |
| 99173 | 0% | 324 | $0.00 | |
| 90734 | 0% | 18 | $0.00 | |
| 90648 | 0% | 15 | $0.00 | |
| 91300 | 0% | 14 | $0.00 | |
| 81025 | 0% | 12 | $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 officialCASTANEDA, ROSIE (CFO)
| Provider | Location | Paid |
|---|---|---|
| LA Esperanza Clinic, INC. | San Angelo, TX | $2.09M |
| LA Esperanza Clinic INC | San Angelo, TX | $1.62M |
| LA Esperanza Clinic, INC. | San Angelo, TX | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.