Clinic
LA Maestra Family Clinic, INC.
LA Maestra Family Clinic, INC. was paid $7.55M by Medicaid between Jan 2018 and Dec 2024, across 157 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 51% of everything it billed.
33Billing provider infoLA MAESTRA FAMILY CLINIC, INC.
EL CAJON, CA 92019
EL CAJON, CA 92019
33aNPI1306929443assigned 10/23/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.55M
24GClaims337,506
24DCodes billed157
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#342 of 826
Median peer was paid$4.05M
This provider vs. median1.9×
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 | 91,492 | $3.94M | |
| 2019 | 74,925 | $2.75M | |
| 2020 | 48,695 | $777K | |
| 2021 | 39,603 | $9K | |
| 2022 | 40,907 | $32K | |
| 2023 | 25,624 | $39K | |
| 2024incomplete | 16,260 | $6K |
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 | 51% | 49,858 | 41,356 | $3.82M |
| 00003 | Internal/system code - not a standard HCPCS code | 48% | 23,620 | 11,704 | $3.61M |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 1,292 | 1,125 | $38K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,614 | 1,408 | $30K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 1,006 | 1,004 | $12K |
| 92081 | <1% | 6,850 | 6,734 | $8K | |
| 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% | 32,484 | 27,685 | $5K |
| 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% | 7,164 | 6,733 | $3K |
| 90686 | <1% | 3,705 | 3,660 | $2K | |
| 99000 | <1% | 18,510 | 17,094 | $2K | |
| 90651 | <1% | 353 | 341 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 821 | 812 | $1K |
145 more codes
| 92551 | <1% | 6,652 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,288 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14,149 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,084 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 978 | $898.20 |
| 90620 | <1% | 89 | $836.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 766 | $775.80 |
| 90670 | <1% | 331 | $520.74 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,252 | $397.47 |
| 90632 | <1% | 280 | $344.90 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 638 | $255.45 |
| 90715 | <1% | 271 | $254.50 | |
| 99401 | <1% | 305 | $250.30 | |
| 90688 | <1% | 56 | $185.00 | |
| 90654 | <1% | 32 | $180.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,795 | $163.86 |
| 36415 | Collection of venous blood by venipuncture | <1% | 12,936 | $153.00 |
| 90739 | <1% | 319 | $134.25 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 196 | $105.24 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 9,099 | $102.48 |
| 90716 | <1% | 59 | $90.00 | |
| H0049 | Alcohol and/or drug screening | <1% | 4,355 | $89.50 |
| 90633 | <1% | 244 | $81.00 | |
| 90734 | <1% | 149 | $81.00 | |
| 81001 | <1% | 2,018 | $77.18 | |
| 99441 | <1% | 10,785 | $36.00 | |
| 81003 | <1% | 498 | $29.24 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 57 | $26.53 |
| 85018 | <1% | 2,274 | $22.77 | |
| 81025 | <1% | 196 | $22.40 | |
| 99442 | <1% | 7,301 | $21.00 | |
| 90723 | <1% | 78 | $18.00 | |
| 90714 | <1% | 27 | $18.00 | |
| 90707 | <1% | 69 | $18.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 272 | $17.70 |
| 99443 | <1% | 1,597 | $15.00 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 10,182 | $9.30 |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 9,708 | $8.70 |
| 86580 | <1% | 32 | $7.91 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,947 | $6.00 |
| 96151 | <1% | 1,699 | $3.00 | |
| 96156 | <1% | 1,936 | $1.00 | |
| 3044F | <1% | 3,456 | $0.30 | |
| 3074F | <1% | 1,337 | $0.30 | |
| 96160 | <1% | 572 | $0.30 | |
| 3078F | <1% | 1,077 | $0.30 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 4,937 | $0.00 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 7,423 | $0.00 |
| 86592 | 0% | 790 | $0.00 | |
| 82607 | 0% | 4,819 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 1,124 | $0.00 |
| 88142 | 0% | 171 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 826 | $0.00 |
| 84153 | 0% | 711 | $0.00 | |
| 85027 | 0% | 2,830 | $0.00 | |
| 82746 | 0% | 3,029 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 8,640 | $0.00 |
| 1031F | 0% | 858 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 7,597 | $0.00 |
| 1000F | 0% | 465 | $0.00 | |
| 3008F | 0% | 1,194 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 136 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 797 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 163 | $0.00 |
| 3079F | 0% | 474 | $0.00 | |
| 86593 | 0% | 236 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 158 | $0.00 |
| 83550 | 0% | 55 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 121 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 297 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 46 | $0.00 |
| Z5220 | 0% | 30 | $0.00 | |
| 1036F | 0% | 1,281 | $0.00 | |
| 86706 | 0% | 31 | $0.00 | |
| 87490 | 0% | 107 | $0.00 | |
| Z6406 | 0% | 48 | $0.00 | |
| 82728 | 0% | 241 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 221 | $0.00 |
| 87510 | 0% | 13 | $0.00 | |
| 82043 | 0% | 109 | $0.00 | |
| 86803 | 0% | 107 | $0.00 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 0% | 82 | $0.00 |
| Z1034 | 0% | 99 | $0.00 | |
| 3075F | 0% | 184 | $0.00 | |
| 1034F | 0% | 56 | $0.00 | |
| 90656 | 0% | 104 | $0.00 | |
| 87088 | 0% | 15 | $0.00 | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 0% | 137 | $0.00 |
| 81000 | 0% | 152 | $0.00 | |
| 87340 | 0% | 12 | $0.00 | |
| 87070 | 0% | 29 | $0.00 | |
| 84480 | 0% | 30 | $0.00 | |
| 86701 | 0% | 114 | $0.00 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 24 | $0.00 |
| 86695 | 0% | 43 | $0.00 | |
| 4000F | 0% | 66 | $0.00 | |
| 85652 | 0% | 15 | $0.00 | |
| 87480 | 0% | 13 | $0.00 | |
| 0012A | 0% | 51 | $0.00 | |
| 0011A | 0% | 118 | $0.00 | |
| 0001A | 0% | 36 | $0.00 | |
| 96150 | 0% | 12 | $0.00 | |
| 91307 | 0% | 15 | $0.00 | |
| 99408 | 0% | 320 | $0.00 | |
| 84439 | 0% | 3,535 | $0.00 | |
| 86480 | 0% | 709 | $0.00 | |
| 80061 | Lipid panel | 0% | 9,474 | $0.00 |
| 86696 | 0% | 44 | $0.00 | |
| S9470 | Nutritional counseling, dietitian visit | 0% | 39 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 256 | $0.00 |
| 90648 | 0% | 126 | $0.00 | |
| 80074 | 0% | 238 | $0.00 | |
| 87338 | 0% | 47 | $0.00 | |
| 83540 | 0% | 136 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 1,066 | $0.00 |
| 1033F | 0% | 413 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 347 | $0.00 |
| 82565 | 0% | 119 | $0.00 | |
| 3725F | 0% | 1,020 | $0.00 | |
| 84460 | 0% | 78 | $0.00 | |
| 90461 | 0% | 423 | $0.00 | |
| 90662 | 0% | 14 | $0.00 | |
| 1032F | 0% | 68 | $0.00 | |
| 90746 | 0% | 74 | $0.00 | |
| 81513 | 0% | 111 | $0.00 | |
| 90750 | 0% | 105 | $0.00 | |
| 86431 | 0% | 12 | $0.00 | |
| 86708 | 0% | 25 | $0.00 | |
| 87481 | 0% | 94 | $0.00 | |
| 99347 | 0% | 61 | $0.00 | |
| 99348 | 0% | 21 | $0.00 | |
| 84520 | 0% | 24 | $0.00 | |
| 83655 | 0% | 29 | $0.00 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 12 | $0.00 |
| 82274 | 0% | 94 | $0.00 | |
| 84450 | 0% | 28 | $0.00 | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 12 | $0.00 |
| 87660 | 0% | 13 | $0.00 | |
| 82977 | 0% | 13 | $0.00 | |
| 1160F | 0% | 14 | $0.00 | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 0% | 29 | $0.00 |
| 0071A | 0% | 14 | $0.00 | |
| 3077F | 0% | 12 | $0.00 | |
| 3045F | 0% | 12 | $0.00 | |
| 84550 | 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 officialMARSELIAN, ZARA (CEO)
| Provider | Location | Paid |
|---|---|---|
| LA Maestra Family Clinic, INC. | San Diego, CA | $202.14M |
| LA Maestra Family Clinic | San Diego, CA | $13.27M |
| LA Maestra Family Clinic, INC. | National City, CA | $3.39M |
| Community Health Imaging Centers | San Diego, CA | $1.63M |
| LA Maestra Family Clinic, INC. | Lemon Grove, CA | $1.11M |
| LA Maestra Family Clinic | National City, CA | $38K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.