Clinic
Clinica Monsignor Oscar a Romero
Clinica Monsignor Oscar a Romero was paid $14.59M by Medicaid between Jan 2018 and Dec 2024, across 130 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
33Billing provider infoCLINICA MONSIGNOR OSCAR A ROMERO
LOS ANGELES, CA 90057
LOS ANGELES, CA 90057
33aNPI1275629495assigned 10/05/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$14.59M
24GClaims343,208
24DCodes billed130
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#229 of 826
Median peer was paid$4.05M
This provider vs. median3.6×
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 | |
|---|---|---|---|
| 2018 | 12,163 | $1.20M | |
| 2019 | 13,589 | $1.12M | |
| 2020 | 13,644 | $820K | |
| 2021 | 20,933 | $1.28M | |
| 2022 | 44,664 | $2.19M | |
| 2023 | 83,872 | $2.87M | |
| 2024incomplete | 154,343 | $5.11M |
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 | 78% | 90,019 | 75,180 | $11.41M |
| 00003 | Internal/system code - not a standard HCPCS code | 16% | 13,216 | 11,049 | $2.30M |
| 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% | 34,447 | 27,330 | $118K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 27,310 | 22,142 | $115K |
| 0002A | <1% | 1,010 | 1,010 | $68K | |
| 0001A | <1% | 980 | 980 | $66K | |
| 0011A | <1% | 1,054 | 1,054 | $60K | |
| 0012A | <1% | 695 | 695 | $47K | |
| 0064A | <1% | 690 | 689 | $46K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 846 | 730 | $36K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 694 | 652 | $32K |
| 0004A | <1% | 394 | 394 | $26K |
118 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 3,786 | $21K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,594 | $18K |
| 90837 | Psychotherapy session, about an hour | <1% | 822 | $18K |
| J3490 | Unclassified drugs | <1% | 450 | $17K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 417 | $17K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 352 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,110 | $15K |
| 0013A | <1% | 209 | $14K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 747 | $13K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 608 | $13K |
| 0072A | <1% | 172 | $12K | |
| 0071A | <1% | 155 | $10K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 707 | $8K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 2,207 | $7K |
| 59425 | <1% | 252 | $7K | |
| 81025 | <1% | 3,814 | $6K | |
| 99384 | <1% | 71 | $3K | |
| 90633 | <1% | 419 | $3K | |
| 90677 | <1% | 401 | $3K | |
| 90697 | <1% | 376 | $3K | |
| 90686 | <1% | 427 | $2K | |
| 0031A | <1% | 36 | $2K | |
| G0467 | Community health center visit, returning patient | <1% | 104 | $2K |
| 0134A | <1% | 33 | $2K | |
| 90716 | <1% | 195 | $2K | |
| 90680 | <1% | 254 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,362 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 179 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 618 | $1K |
| 90651 | <1% | 142 | $1K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 97 | $1K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 144 | $1K |
| 99000 | <1% | 1,626 | $1K | |
| 99383 | <1% | 124 | $1K | |
| 92551 | <1% | 380 | $959.50 | |
| 90670 | <1% | 257 | $941.40 | |
| 0003A | <1% | 14 | $938.00 | |
| 90707 | <1% | 114 | $906.24 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 131 | $901.68 |
| 81003 | <1% | 2,705 | $796.29 | |
| 90648 | <1% | 261 | $768.60 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 347 | $664.50 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 264 | $638.92 |
| 90715 | <1% | 95 | $417.55 | |
| 90734 | <1% | 46 | $414.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,094 | $355.71 |
| G9920 | Screening performed and negative | <1% | 223 | $319.00 |
| 90658 | <1% | 64 | $315.00 | |
| 93000 | <1% | 16 | $299.97 | |
| 85018 | <1% | 568 | $273.49 | |
| 90744 | <1% | 32 | $243.00 | |
| 90723 | <1% | 69 | $234.00 | |
| 81002 | <1% | 2,640 | $204.01 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 15 | $184.10 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 82 | $168.75 |
| 90656 | <1% | 18 | $162.00 | |
| 90621 | <1% | 14 | $126.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 368 | $114.30 |
| 99381 | <1% | 64 | $90.66 | |
| 90619 | <1% | 14 | $90.00 | |
| 90674 | <1% | 27 | $57.02 | |
| 99382 | <1% | 53 | $47.13 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 27 | $41.94 |
| 3008F | <1% | 11,309 | $20.00 | |
| 3074F | <1% | 8,378 | $18.00 | |
| 3078F | <1% | 8,211 | $18.00 | |
| 90461 | <1% | 709 | $9.00 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 16 | $6.73 |
| 1036F | 0% | 14,891 | $0.00 | |
| 1126F | 0% | 10,237 | $0.00 | |
| 2000F | 0% | 10,190 | $0.00 | |
| 2001F | 0% | 11,407 | $0.00 | |
| 1125F | 0% | 755 | $0.00 | |
| 2010F | 0% | 13,156 | $0.00 | |
| 81000 | 0% | 164 | $0.00 | |
| 3075F | 0% | 304 | $0.00 | |
| 1170F | 0% | 8,530 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 154 | $0.00 |
| Z1034 | 0% | 2,895 | $0.00 | |
| 3351F | 0% | 7,981 | $0.00 | |
| 4037F | 0% | 105 | $0.00 | |
| Z6204 | 0% | 141 | $0.00 | |
| 3079F | 0% | 1,032 | $0.00 | |
| 4010F | 0% | 716 | $0.00 | |
| 92250 | 0% | 27 | $0.00 | |
| 92002 | 0% | 102 | $0.00 | |
| 99172 | 0% | 13 | $0.00 | |
| Z1038 | 0% | 32 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 12 | $0.00 |
| 85032 | 0% | 14 | $0.00 | |
| Q3014 | Telehealth originating site facility fee | 0% | 100 | $0.00 |
| 97802 | 0% | 14 | $0.00 | |
| 1034F | 0% | 35 | $0.00 | |
| Z1032 | 0% | 148 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 14 | $0.00 |
| Z6410 | 0% | 136 | $0.00 | |
| 99385 | 0% | 12 | $0.00 | |
| Z6406 | 0% | 16 | $0.00 | |
| 3080F | 0% | 13 | $0.00 | |
| 1160F | 0% | 10,660 | $0.00 | |
| 1159F | 0% | 10,658 | $0.00 | |
| 3077F | 0% | 357 | $0.00 | |
| 4040F | 0% | 944 | $0.00 | |
| 4274F | 0% | 1,722 | $0.00 | |
| Z6400 | 0% | 177 | $0.00 | |
| 0502F | 0% | 709 | $0.00 | |
| 99173 | 0% | 281 | $0.00 | |
| S0197 | Prenatal vitamins, 30-day supply | 0% | 85 | $0.00 |
| 92015 | Determination of refractive state | 0% | 35 | $0.00 |
| 82948 | 0% | 50 | $0.00 | |
| 90700 | 0% | 41 | $0.00 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 37 | $0.00 |
| 97803 | 0% | 16 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 41 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 15 | $0.00 |
| Z6500 | 0% | 16 | $0.00 | |
| 99401 | 0% | 14 | $0.00 | |
| Z6304 | 0% | 14 | $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 officialROSSATO, SANDRA (EXECUTIVE DIRECTOR)