Physician
LA Libertad Medical Clinic INC
LA Libertad Medical Clinic INC was paid $536K by Medicaid between Jan 2018 and Nov 2024, across 89 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoLA LIBERTAD MEDICAL CLINIC INC
SOUTH GATE, CA 90280
SOUTH GATE, CA 90280
33aNPI1295887024assigned 01/18/2007
33bProvider typeGeneral Practice Physician
28Total paid$536K
24GClaims160,740
24DCodes billed89
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in California
Rank by total paid#47 of 474
Median peer was paid$10K
This provider vs. median52×
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 | 17,108 | $103K | |
| 2019 | 23,221 | $105K | |
| 2020 | 19,803 | $73K | |
| 2021 | 21,962 | $82K | |
| 2022 | 25,312 | $56K | |
| 2023 | 28,281 | $69K | |
| 2024incomplete | 25,053 | $48K |
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 | 22% | 51,256 | 43,275 | $120K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 20% | 2,433 | 2,414 | $106K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 10% | 2,048 | 2,023 | $55K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.9% | 1,259 | 1,253 | $53K |
| 92551 | 4.9% | 5,077 | 5,071 | $26K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.0% | 4,420 | 4,183 | $22K |
| 99384 | 3.7% | 205 | 197 | $20K | |
| 90651 | 3.6% | 1,398 | 1,393 | $19K | |
| 99383 | 3.6% | 227 | 209 | $19K | |
| 97802 | 1.7% | 862 | 860 | $9K | |
| 85014 | 1.4% | 6,748 | 6,382 | $7K | |
| 85018 | 1.4% | 7,502 | 7,223 | $7K |
77 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 135 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 1,785 | $6K |
| 90734 | 1.1% | 1,169 | $6K | |
| 90686 | 1.1% | 1,063 | $6K | |
| 81000 | 1.1% | 5,515 | $6K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,520 | $3K |
| 97803 | <1% | 1,425 | $2K | |
| 90715 | <1% | 532 | $2K | |
| 99000 | <1% | 7,780 | $2K | |
| 0071A | <1% | 51 | $2K | |
| 96156 | <1% | 142 | $2K | |
| 0072A | <1% | 42 | $2K | |
| 90620 | <1% | 508 | $2K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 9,874 | $1K |
| 90633 | <1% | 192 | $1K | |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 9,232 | $1K |
| 99382 | <1% | 14 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 201 | $1K |
| 90716 | <1% | 157 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 491 | $1K |
| 81002 | <1% | 8,885 | $1K | |
| 0001A | <1% | 25 | $1K | |
| 99201 | <1% | 73 | $997.61 | |
| 92552 | <1% | 137 | $986.86 | |
| 90713 | <1% | 150 | $936.00 | |
| 86580 | <1% | 366 | $791.08 | |
| 90649 | <1% | 96 | $765.00 | |
| 99386 | <1% | 99 | $752.40 | |
| 96150 | <1% | 224 | $712.77 | |
| 0003A | <1% | 17 | $680.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 301 | $660.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 470 | $637.50 |
| 90707 | <1% | 84 | $603.00 | |
| 99381 | <1% | 13 | $583.44 | |
| 0002A | <1% | 14 | $560.00 | |
| 81025 | <1% | 719 | $445.81 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 1,539 | $412.50 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 965 | $396.93 |
| 90700 | <1% | 81 | $396.00 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 31 | $394.32 |
| 99173 | <1% | 852 | $393.67 | |
| 90670 | <1% | 45 | $312.75 | |
| 82947 | <1% | 2,704 | $267.71 | |
| 96151 | <1% | 133 | $241.34 | |
| 92060 | <1% | 1,546 | $197.91 | |
| 90696 | <1% | 31 | $189.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 499 | $130.76 |
| 90710 | <1% | 30 | $117.00 | |
| 90648 | <1% | 16 | $105.75 | |
| 99385 | <1% | 15 | $68.40 | |
| 94664 | <1% | 21 | $65.03 | |
| 90658 | <1% | 13 | $45.00 | |
| 94760 | <1% | 3,275 | $11.06 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,877 | $0.10 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 174 | $0.01 |
| 82270 | 0% | 37 | $0.00 | |
| 3008F | 0% | 1,288 | $0.00 | |
| 3017F | 0% | 255 | $0.00 | |
| 3074F | 0% | 568 | $0.00 | |
| 3079F | 0% | 170 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 46 | $0.00 |
| 3014F | 0% | 298 | $0.00 | |
| 3075F | 0% | 74 | $0.00 | |
| 3044F | 0% | 22 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 63 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 165 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 2,237 | $0.00 |
| 3078F | 0% | 632 | $0.00 | |
| 3077F | 0% | 140 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 288 | $0.00 |
| 1158F | 0% | 1,111 | $0.00 | |
| J3260 | Injection, tobramycin sulfate, up to 80 mg | 0% | 32 | $0.00 |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 45 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 131 | $0.00 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 0% | 120 | $0.00 |
| 92081 | 0% | 195 | $0.00 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 40 | $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 officialCHAMBI, RICARDO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| LA Libertad Medical Clinic INC | South Gate, CA | $119K |
| LA Libertad Medical Clinic INC. | Walnut Park, CA | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.