Clinic
Clinica Hispana of West Valley
Clinica Hispana of West Valley was paid $4.67M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoCLINICA HISPANA OF WEST VALLEY
PHOENIX, AZ 85033
PHOENIX, AZ 85033
33aNPI1285064469assigned 11/25/2013
33bProvider typeClinic/Center
28Total paid$4.67M
24GClaims130,507
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Arizona
Rank by total paid#11 of 89
Median peer was paid$216K
This provider vs. median22×
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 | 22,846 | $671K | |
| 2019 | 23,209 | $678K | |
| 2020 | 17,914 | $590K | |
| 2021 | 17,652 | $715K | |
| 2022 | 18,783 | $791K | |
| 2023 | 18,105 | $702K | |
| 2024incomplete | 11,998 | $522K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 52% | 46,059 | 39,027 | $2.43M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 6,012 | 5,972 | $513K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.6% | 15,664 | 15,453 | $450K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.3% | 5,594 | 5,543 | $436K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.7% | 2,803 | 2,759 | $218K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 1,736 | 1,693 | $125K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.2% | 1,162 | 1,155 | $101K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 3,387 | 3,309 | $76K |
| 92551 | 1.5% | 8,659 | 8,433 | $69K | |
| 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% | 814 | 787 | $60K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,033 | 2,812 | $43K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,915 | 2,865 | $39K |
43 more codes
| 0002A | <1% | 300 | $15K | |
| 99173 | <1% | 9,421 | $14K | |
| 0001A | <1% | 275 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 299 | $9K |
| 0072A | <1% | 176 | $9K | |
| 94760 | <1% | 5,715 | $7K | |
| 99188 | <1% | 599 | $5K | |
| 0003A | <1% | 105 | $5K | |
| 0071A | <1% | 127 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 376 | $5K |
| 86580 | <1% | 662 | $5K | |
| 99177 | <1% | 211 | $4K | |
| 99383 | <1% | 42 | $4K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 82 | $3K |
| 99381 | <1% | 16 | $1K | |
| 99384 | <1% | 14 | $1K | |
| 0073A | <1% | 15 | $975.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 46 | $871.72 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $817.41 |
| 81002 | <1% | 196 | $556.18 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 30 | $472.93 |
| 94664 | <1% | 13 | $189.85 | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 29 | $30.93 |
| 90670 | <1% | 882 | $15.60 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 29 | $4.14 |
| 91300 | <1% | 158 | $0.30 | |
| 90620 | <1% | 797 | $0.03 | |
| 90633 | 0% | 383 | $0.00 | |
| 90649 | 0% | 1,517 | $0.00 | |
| 90734 | 0% | 1,517 | $0.00 | |
| 90648 | 0% | 471 | $0.00 | |
| 90687 | 0% | 346 | $0.00 | |
| 90685 | 0% | 65 | $0.00 | |
| 90715 | 0% | 344 | $0.00 | |
| 90700 | 0% | 43 | $0.00 | |
| 90680 | 0% | 256 | $0.00 | |
| 90686 | 0% | 1,300 | $0.00 | |
| 90688 | 0% | 5,536 | $0.00 | |
| 90723 | 0% | 191 | $0.00 | |
| 90698 | 0% | 15 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 90716 | 0% | 31 | $0.00 | |
| 91307 | 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 officialVAID, PERMINDER (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Sonrisas | Phoenix, AZ | $228.61 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.