Lab
LA Clinica De LA Raza INC
LA Clinica De LA Raza INC was paid $27.31M by Medicaid between Jan 2018 and Dec 2024, across 97 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoLA CLINICA DE LA RAZA INC
OAKLAND, CA 94601
OAKLAND, CA 94601
33aNPI1235245275assigned 08/22/2006
33bProvider typeClinical Medical Laboratory
28Total paid$27.31M
24GClaims295,036
24DCodes billed97
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in California
Rank by total paid#35 of 561
Median peer was paid$222K
This provider vs. median123×
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 | 28,680 | $3.82M | |
| 2019 | 33,680 | $3.74M | |
| 2020 | 34,265 | $3.53M | |
| 2021 | 49,209 | $4.39M | |
| 2022 | 46,565 | $3.67M | |
| 2023 | 51,734 | $4.22M | |
| 2024incomplete | 50,903 | $3.95M |
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 | 93% | 100,427 | 89,029 | $25.29M |
| 00003 | Internal/system code - not a standard HCPCS code | 3.9% | 3,927 | 3,343 | $1.07M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 76,017 | 45,861 | $444K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 24,342 | 15,023 | $198K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 3,839 | 2,103 | $167K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,039 | 513 | $25K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 445 | 320 | $24K |
| 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% | 9,259 | 5,587 | $18K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 189 | 159 | $14K |
| J3490 | Unclassified drugs | <1% | 403 | 309 | $8K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 164 | 68 | $8K |
| G9920 | Screening performed and negative | <1% | 4,080 | 3,076 | $5K |
85 more codes
| 99201 | <1% | 92 | $3K | |
| 90686 | <1% | 11,171 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 206 | $3K |
| 81025 | <1% | 3,143 | $3K | |
| 99402 | <1% | 90 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 18,604 | $2K |
| 0071A | <1% | 51 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 545 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 612 | $2K |
| 99401 | <1% | 354 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,818 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 37 | $1K |
| 59425 | <1% | 39 | $1K | |
| 0054A | <1% | 41 | $1K | |
| 0001A | <1% | 34 | $1K | |
| 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% | 41 | $1K |
| 90651 | <1% | 904 | $985.12 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,714 | $946.20 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,227 | $893.97 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 794 | $853.73 |
| 0004A | <1% | 25 | $840.00 | |
| A4267 | Contraceptive supply, condom, male, each | <1% | 141 | $795.34 |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 227 | $640.10 |
| 0072A | <1% | 16 | $600.00 | |
| 0002A | <1% | 17 | $600.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 630 | $583.27 |
| 92551 | <1% | 3,028 | $564.92 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 366 | $510.53 |
| 90715 | <1% | 406 | $446.02 | |
| 90739 | <1% | 14 | $420.09 | |
| 86703 | <1% | 120 | $403.75 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 5,830 | $402.39 |
| 81002 | <1% | 629 | $364.94 | |
| 90677 | <1% | 101 | $293.12 | |
| 90633 | <1% | 457 | $292.00 | |
| 99385 | <1% | 17 | $290.97 | |
| 90656 | <1% | 1,501 | $238.76 | |
| 85018 | <1% | 4,389 | $226.57 | |
| 90480 | <1% | 110 | $215.00 | |
| 97802 | <1% | 15 | $204.86 | |
| 0154A | <1% | 12 | $201.00 | |
| 99188 | <1% | 803 | $178.20 | |
| 90698 | <1% | 186 | $148.46 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 148 | $146.27 |
| 90619 | <1% | 190 | $145.09 | |
| 90716 | <1% | 111 | $113.06 | |
| 99000 | <1% | 241 | $94.05 | |
| 90734 | <1% | 222 | $93.00 | |
| 0124A | <1% | 14 | $67.00 | |
| 90744 | <1% | 199 | $54.00 | |
| 92015 | Determination of refractive state | <1% | 913 | $48.06 |
| V2020 | Frames, purchases | <1% | 310 | $42.62 |
| 99173 | <1% | 2,736 | $37.69 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 299 | $33.39 |
| 90670 | <1% | 400 | $27.00 | |
| 90620 | <1% | 127 | $18.00 | |
| 90713 | <1% | 33 | $18.00 | |
| S5199 | Personal care item, nos, each | <1% | 13 | $14.99 |
| 97803 | <1% | 41 | $14.30 | |
| H0049 | Alcohol and/or drug screening | 0% | 367 | $0.00 |
| 90688 | 0% | 138 | $0.00 | |
| Z6410 | 0% | 63 | $0.00 | |
| 91307 | 0% | 13 | $0.00 | |
| Z6404 | 0% | 77 | $0.00 | |
| Z6402 | 0% | 114 | $0.00 | |
| Z1034 | 0% | 217 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 93 | $0.00 |
| 90697 | 0% | 14 | $0.00 | |
| Z6406 | 0% | 22 | $0.00 | |
| 90696 | 0% | 24 | $0.00 | |
| 99460 | 0% | 17 | $0.00 | |
| Z6400 | 0% | 116 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 518 | $0.00 |
| 92552 | 0% | 90 | $0.00 | |
| H1000 | Prenatal care, at-risk assessment | 0% | 42 | $0.00 |
| 83655 | 0% | 22 | $0.00 | |
| H1002 | Prenatal care, at risk enhanced service; care coordination | 0% | 17 | $0.00 |
| 90710 | 0% | 24 | $0.00 | |
| 90685 | 0% | 14 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 145 | $0.00 |
| 91321 | 0% | 20 | $0.00 | |
| 90671 | 0% | 108 | $0.00 | |
| 90672 | 0% | 14 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 50 | $0.00 |
| 90658 | 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 officialGARCIA, JANE (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| LA Clinica De LA Raza INC | Oakland, CA | $91.19M |
| 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 | 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.