Clinic
LA Esperanza Clinic, INC.
LA Esperanza Clinic, INC. was paid $2.09M by Medicaid between Mar 2019 and Dec 2024, across 53 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 ESPERANZA CLINIC, INC.
SAN ANGELO, TX 76903
SAN ANGELO, TX 76903
33aNPI1265601371assigned 02/22/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.09M
24GClaims36,582
24DCodes billed53
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#87 of 248
Median peer was paid$796K
This provider vs. median2.6×
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 | |
|---|---|---|---|
| 2019 | 12 | $2K | |
| 2020 | 116 | $15K | |
| 2021 | 6,031 | $338K | |
| 2022 | 4,895 | $261K | |
| 2023 | 14,557 | $767K | |
| 2024incomplete | 10,971 | $710K |
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% | 11,611 | 9,008 | $1.46M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.7% | 5,762 | 4,770 | $160K |
| D0999 | Unspecified diagnostic procedure, by report | 5.5% | 679 | 645 | $115K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.4% | 674 | 606 | $70K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.1% | 637 | 594 | $65K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 654 | 582 | $61K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 1,305 | 1,152 | $52K |
| 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 | 1.8% | 458 | 429 | $37K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 266 | 241 | $24K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 664 | 611 | $12K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 188 | 174 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,596 | 737 | $9K |
41 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,036 | $6K |
| 99384 | <1% | 103 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 126 | $3K |
| 99000 | <1% | 845 | $3K | |
| G0467 | Community health center visit, returning patient | <1% | 26 | $775.00 |
| 0001A | <1% | 12 | $480.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,495 | $329.35 |
| D1110 | Prophylaxis - adult | <1% | 50 | $316.17 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 73 | $269.60 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 54 | $267.44 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,039 | $194.18 |
| 81025 | <1% | 102 | $180.75 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 72 | $164.00 |
| D0330 | Panoramic radiographic image | <1% | 13 | $121.40 |
| D0120 | Dental checkup, returning patient | <1% | 28 | $78.00 |
| 86580 | <1% | 38 | $77.50 | |
| 92551 | <1% | 1,003 | $54.32 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12 | $53.30 |
| 90658 | <1% | 92 | $48.36 | |
| 90686 | <1% | 506 | $0.02 | |
| D1120 | Dental cleaning, child | 0% | 229 | $0.00 |
| 99173 | 0% | 844 | $0.00 | |
| 90670 | 0% | 268 | $0.00 | |
| 90710 | 0% | 96 | $0.00 | |
| 90633 | 0% | 133 | $0.00 | |
| 90648 | 0% | 135 | $0.00 | |
| 90734 | 0% | 178 | $0.00 | |
| 91300 | 0% | 34 | $0.00 | |
| 90715 | 0% | 116 | $0.00 | |
| 90649 | 0% | 15 | $0.00 | |
| 90651 | 0% | 253 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 356 | $0.00 |
| 90688 | 0% | 253 | $0.00 | |
| D0601 | 0% | 212 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 68 | $0.00 |
| 90619 | 0% | 40 | $0.00 | |
| 90723 | 0% | 78 | $0.00 | |
| D0603 | 0% | 12 | $0.00 | |
| 90696 | 0% | 14 | $0.00 | |
| 90677 | 0% | 14 | $0.00 | |
| 90620 | 0% | 15 | $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 | $1.62M |
| LA Esperanza Clinic, INC. | San Angelo, TX | $568K |
| 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.