Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

LA Casa De Salud, INC

LA Casa De Salud, INC was paid $5.24M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.

33Billing provider infoLA CASA DE SALUD, INC
BRONX, NY 10455
33aNPI1326493982assigned 05/02/2016
28Total paid$5.24M
24GClaims56,426
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in New York

Rank by total paid#19 of 118
Median peer was paid$372K
This provider vs. median14×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GATELL, VICKY controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20183,273$190K
20198,035$751K
202010,921$1.04M
20218,751$699K
20229,080$835K
20239,630$1.01M
2024incomplete6,736$711K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 68% 29,862 26,063 $3.56M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15% 7,893 6,897 $790K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 3.8% 1,531 1,250 $200K
99441 2.3% 1,850 1,734 $118K
90792 Psychiatric diagnostic evaluation with medical services 2.2% 658 651 $117K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 1.9% 633 534 $98K
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 1.1% 460 406 $58K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient <1% 273 231 $42K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 751 683 $40K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 217 212 $37K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 232 214 $27K
92551 <1% 419 419 $21K
32 more codes
99203 Doctor's office visit, new patient (routine) <1% 198 $19K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 124 $11K
36415 Collection of venous blood by venipuncture <1% 4,006 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 67 $9K
99385 <1% 114 $9K
90686 <1% 458 $9K
D0210 Intraoral - complete series of radiographic images <1% 80 $7K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 714 $7K
99442 <1% 89 $6K
99386 <1% 86 $5K
0012A <1% 143 $5K
D1110 Prophylaxis - adult <1% 39 $4K
99051 <1% 280 $3K
0011A <1% 164 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 480 $3K
96127 <1% 1,486 $3K
90461 <1% 212 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 14 $2K
0064A <1% 51 $2K
D0140 Limited oral evaluation - problem focused <1% 24 $2K
90694 <1% 57 $946.45
99173 <1% 90 $877.05
99490 Ccm add 20min <1% 60 $799.20
90682 <1% 31 $721.37
D0150 Comprehensive oral evaluation - new or established patient <1% 14 $619.19
98967 <1% 12 $581.84
90715 <1% 12 $376.35
90472 Immunization administration, each additional vaccine (list separately) <1% 28 $156.22
3008F <1% 2,446 $50.00
91301 0% 12 $0.00
3079F 0% 13 $0.00
3077F 0% 43 $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 officialGATELL, VICKY (CHIEF FINANCIAL OFFICER)
Same official

Other billing entities under GATELL, VICKY

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.