LA Clinica De LA Raza INC
LA Clinica De LA Raza INC was paid $91.19M by Medicaid between Jan 2018 and Dec 2024, across 141 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 70% of everything it billed.
33Billing provider infoLA CLINICA DE LA RAZA INC
OAKLAND, CA 94601
OAKLAND, CA 94601
33aNPI1144336181assigned 08/22/2006
33bProvider typeCase Manager/Care Coordinator
28Total paid$91.19M
24GClaims1,128,356
24DCodes billed141
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#17 of 435
Median peer was paid$2.89M
This provider vs. median32×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GARCIA, JANE controls 18+ related entities in our dataset. Read more
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 | 182,705 | $21.92M | |
| 2019 | 162,025 | $13.26M | |
| 2020 | 132,910 | $10.28M | |
| 2021 | 164,078 | $12.47M | |
| 2022 | 131,216 | $8.97M | |
| 2023 | 179,470 | $12.81M | |
| 2024incomplete | 175,952 | $11.49M |
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 | 70% | 326,500 | 272,898 | $64.12M |
| 00003 | Internal/system code - not a standard HCPCS code | 25% | 89,540 | 65,339 | $22.49M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 252,998 | 164,967 | $1.57M |
| 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% | 6,288 | 4,982 | $864K |
| 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% | 34,910 | 26,182 | $471K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 82,311 | 49,183 | $350K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 4,836 | 3,367 | $285K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 2,029 | 1,434 | $165K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 5,441 | 3,331 | $163K |
| 97802 | <1% | 2,977 | 2,049 | $68K | |
| J3490 | Unclassified drugs | <1% | 2,082 | 1,765 | $49K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 696 | 685 | $36K |
129 more codes
| 92551 | <1% | 15,610 | $33K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 16,569 | $32K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 9,314 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 17,449 | $27K |
| 0002A | <1% | 411 | $22K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 51,857 | $22K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,023 | $20K |
| 97803 | <1% | 4,086 | $20K | |
| 59425 | <1% | 316 | $20K | |
| G9920 | Screening performed and negative | <1% | 15,623 | $18K |
| 0001A | <1% | 292 | $17K | |
| 0054A | <1% | 379 | $17K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 425 | $17K |
| 0072A | <1% | 389 | $15K | |
| 90686 | <1% | 35,466 | $14K | |
| 0071A | <1% | 318 | $13K | |
| 92015 | Determination of refractive state | <1% | 1,443 | $12K |
| V2020 | Frames, purchases | <1% | 548 | $11K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 503 | $11K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 7,553 | $10K |
| 0112A | <1% | 147 | $10K | |
| 0004A | <1% | 183 | $10K | |
| 0011A | <1% | 336 | $9K | |
| 90688 | <1% | 1,845 | $9K | |
| 0124A | <1% | 197 | $9K | |
| 99173 | <1% | 20,201 | $8K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 597 | $8K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 239 | $8K |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 420 | $8K |
| 0012A | <1% | 168 | $7K | |
| 81025 | <1% | 7,013 | $6K | |
| 90677 | <1% | 1,967 | $6K | |
| 90739 | <1% | 658 | $6K | |
| 81002 | <1% | 5,054 | $5K | |
| 99078 | <1% | 301 | $5K | |
| 99401 | <1% | 354 | $4K | |
| 90670 | <1% | 4,212 | $4K | |
| 90480 | <1% | 281 | $4K | |
| 0074A | <1% | 108 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14,153 | $4K |
| 85018 | <1% | 1,298 | $4K | |
| 99382 | <1% | 68 | $4K | |
| 82962 | <1% | 4,003 | $3K | |
| 0064A | <1% | 48 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,736 | $3K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,052 | $3K |
| 97810 | <1% | 1,434 | $3K | |
| 97811 | <1% | 1,419 | $2K | |
| 0081A | <1% | 30 | $2K | |
| 90633 | <1% | 2,956 | $2K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 40 | $2K |
| 90656 | <1% | 4,557 | $1K | |
| 0052A | <1% | 34 | $1K | |
| 96156 | <1% | 277 | $1K | |
| 90698 | <1% | 4,344 | $1K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 898 | $1K |
| 90651 | <1% | 2,703 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 17,088 | $763.88 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 553 | $756.85 |
| 92552 | <1% | 7,354 | $638.88 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 738 | $550.29 |
| 90715 | <1% | 507 | $542.64 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $471.48 |
| 82947 | <1% | 2,606 | $429.96 | |
| 90750 | <1% | 136 | $415.80 | |
| 59430 | <1% | 85 | $389.96 | |
| 90685 | <1% | 264 | $358.70 | |
| 99188 | <1% | 1,246 | $305.10 | |
| 90648 | <1% | 221 | $274.13 | |
| 76801 | <1% | 47 | $235.26 | |
| 90716 | <1% | 363 | $220.00 | |
| 72100 | <1% | 149 | $178.54 | |
| 90723 | <1% | 12 | $163.08 | |
| 92341 | <1% | 15 | $150.30 | |
| 90744 | <1% | 663 | $144.00 | |
| 90734 | <1% | 335 | $134.49 | |
| 73562 | <1% | 196 | $131.53 | |
| 90681 | <1% | 1,025 | $118.00 | |
| 99381 | <1% | 96 | $99.72 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $88.08 |
| 73030 | <1% | 116 | $66.86 | |
| 73130 | <1% | 38 | $47.76 | |
| 90697 | <1% | 1,510 | $30.00 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 98 | $29.00 |
| 90654 | <1% | 15 | $23.41 | |
| 96151 | <1% | 17 | $19.18 | |
| 81001 | <1% | 38 | $16.08 | |
| 87210 | <1% | 25 | $10.68 | |
| 74018 | <1% | 60 | $7.35 | |
| H0049 | Alcohol and/or drug screening | <1% | 3,027 | $2.31 |
| 91321 | <1% | 72 | $0.07 | |
| Z6308 | 0% | 81 | $0.00 | |
| 73610 | 0% | 12 | $0.00 | |
| 90671 | 0% | 1,138 | $0.00 | |
| Z6300 | 0% | 544 | $0.00 | |
| Z6400 | 0% | 1,552 | $0.00 | |
| H1002 | Prenatal care, at risk enhanced service; care coordination | 0% | 244 | $0.00 |
| Z6200 | 0% | 735 | $0.00 | |
| Z6302 | 0% | 442 | $0.00 | |
| 90710 | 0% | 222 | $0.00 | |
| Z6304 | 0% | 899 | $0.00 | |
| Z6202 | 0% | 253 | $0.00 | |
| 90662 | 0% | 98 | $0.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 293 | $0.00 |
| 91312 | 0% | 75 | $0.00 | |
| 91300 | 0% | 59 | $0.00 | |
| 90707 | 0% | 82 | $0.00 | |
| 73630 | 0% | 25 | $0.00 | |
| 90700 | 0% | 22 | $0.00 | |
| Z6410 | 0% | 1,014 | $0.00 | |
| 90696 | 0% | 231 | $0.00 | |
| Z6204 | 0% | 666 | $0.00 | |
| 99460 | 0% | 530 | $0.00 | |
| 96380 | 0% | 115 | $0.00 | |
| Z6404 | 0% | 306 | $0.00 | |
| Z1034 | 0% | 610 | $0.00 | |
| Z6402 | 0% | 179 | $0.00 | |
| 91307 | 0% | 102 | $0.00 | |
| 90619 | 0% | 77 | $0.00 | |
| Z1038 | 0% | 91 | $0.00 | |
| 90474 | 0% | 44 | $0.00 | |
| 90620 | 0% | 83 | $0.00 | |
| 88720 | 0% | 62 | $0.00 | |
| 90673 | 0% | 21 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 12 | $0.00 |
| 71020 | 0% | 98 | $0.00 | |
| 90381 | 0% | 51 | $0.00 | |
| Z1032 | 0% | 13 | $0.00 | |
| 99462 | 0% | 23 | $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 officialGARCIA, JANE (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| LA Clinica De LA Raza INC | Concord, CA | $41.19M |
| LA Clinica De LA Raza INC | Pittsburg, CA | $36.05M |
| LA Clinica De LA Raza, INC. | Oakland, CA | $35.38M |
| LA Clinica De LA Raza INC | Oakland, CA | $29.73M |
| LA Clinica De LA Raza INC | Oakland, CA | $27.31M |
| LA Clinica De LA Raza INC | Vallejo, CA | $26.48M |
| LA Clinica De LA Raza INC | Pittsburg, CA | $17.19M |
| LA Clinica De LA Raza, INC. | Oakley, CA | $10.68M |
| LA Clinica De LA Raza INC | Oakland, CA | $10.33M |
| LA Clinica De LA Raza, INC. | Vallejo, CA | $10.04M |
| LA Clinica De LA Raza, INC. | Oakland, CA | $6.94M |
| LA Clinica De LA Raza INC | Vallejo, CA | $4.60M |
| LA Clinica De LA Raza INC | Vallejo, CA | $4.04M |
| LA Clinica De LA Raza, INC. | Oakland, CA | $1.64M |
| LA Clinica De LA Raza, INC. | Oakland, CA | $1.10M |
| LA Clinica De LA Raza INC | Oakland, CA | $855K |
| LA Clinica De LA Raza INC | Oakland, CA | $362K |
| LA Clinica De LA Raza, INC. | San Lorenzo, CA | $286K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.