Agency
LA Clinica Del Pueblo, INC.
LA Clinica Del Pueblo, INC. was paid $2.67M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 75% of everything it billed.
33Billing provider infoLA CLINICA DEL PUEBLO, INC.
WASHINGTON, DC 20009
WASHINGTON, DC 20009
33aNPI1124227590assigned 07/16/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$2.67M
24GClaims64,227
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in District of Columbia
Rank by total paid#17 of 35
Median peer was paid$2.61M
This provider vs. median1.0×
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 | 15,567 | $197K | |
| 2019 | 12,579 | $200K | |
| 2020 | 11,350 | $483K | |
| 2021 | 9,394 | $552K | |
| 2022 | 7,163 | $502K | |
| 2023 | 5,197 | $376K | |
| 2024incomplete | 2,977 | $356K |
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 | 75% | 15,681 | 10,923 | $2.01M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.0% | 7,839 | 6,043 | $213K |
| 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 | 7.6% | 7,260 | 5,341 | $202K |
| T2022 | Case management, per month | 7.6% | 2,989 | 2,090 | $201K |
| 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% | 3,802 | 2,680 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 76 | 70 | $11K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 366 | 160 | $7K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 655 | 306 | $4K |
| 0012A | <1% | 105 | 82 | $1K | |
| 0011A | <1% | 124 | 93 | $974.00 | |
| 90686 | <1% | 908 | 869 | $771.60 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 154 | 129 | $232.57 |
14 more codes
| 91301 | 0% | 253 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 909 | $0.00 |
| 96127 | 0% | 20 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 102 | $0.00 |
| 92551 | 0% | 17 | $0.00 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 16,073 | $0.00 |
| A0100 | Non-emergency taxi ride to a medical appointment | 0% | 5,267 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 1,403 | $0.00 |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 78 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 12 | $0.00 |
| 90662 | 0% | 43 | $0.00 | |
| 90785 | 0% | 55 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 15 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 21 | $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 officialACUNA, MICAELA (PATIENT REVENUE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| LA Clinica Del Pueblo, INC | Washington, DC | $2K |
| LA Clinica Del Pueblo, INC | Hyattsville, MD | $879.75 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.