LA Clinica De LA Raza INC
LA Clinica De LA Raza INC was paid $2.83M by Medicaid between Jan 2018 and Jun 2024, across 16 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 88% of everything it billed.
33Billing provider infoLA CLINICA DE LA RAZA INC
OAKLAND, CA 94601
OAKLAND, CA 94601
33aNPI1124035159assigned 08/02/2006
33bProvider typeOptometrist
28Total paid$2.83M
24GClaims67,885
24DCodes billed16
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#16 of 1,899
Median peer was paid$23K
This provider vs. median125×
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 | 17,746 | $838K | |
| 2019 | 19,282 | $774K | |
| 2020 | 6,781 | $317K | |
| 2021 | 5,340 | $252K | |
| 2022 | 4,944 | $158K | |
| 2023 | 7,315 | $248K | |
| 2024incomplete | 6,477 | $244K |
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 | 88% | 28,528 | 22,790 | $2.50M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.1% | 5,465 | 4,704 | $117K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.9% | 5,880 | 5,234 | $81K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 3,241 | 2,707 | $30K |
| V2020 | Frames, purchases | <1% | 5,308 | 4,878 | $25K |
| G0467 | Community health center visit, returning patientFederally 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 | <1% | 574 | 523 | $25K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 4,663 | 4,251 | $20K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,813 | 1,581 | $19K |
| 92015 | Determination of refractive state | <1% | 11,691 | 10,331 | $13K |
| 92250 | <1% | 438 | 343 | $1K | |
| 92341 | <1% | 41 | 39 | $543.78 | |
| 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% | 77 | 68 | $506.25 |
4 more codes
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 officialAGUILERA, PATRICIA (CHIEF EXECUTIVE OFFICER)