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.
BRONX, NY 10455
Next to other Multi-Specialty Clinic/Center providers in New York
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,273 | $190K | |
| 2019 | 8,035 | $751K | |
| 2020 | 10,921 | $1.04M | |
| 2021 | 8,751 | $699K | |
| 2022 | 9,080 | $835K | |
| 2023 | 9,630 | $1.01M | |
| 2024incomplete | 6,736 | $711K |
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 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Puerto Rican Organization to Motivate Enlighten and Serve Addicts INC | Bronx, NY | $64.21M |
| Puerto Rican Organization to Motivate Enlighten and Serve Addicts INC | Bronx, NY | $38.03M |
| Puerto Rican Organization to Motivate Enlighten and Serve Addicts, INC | Bronx, NY | $36.30M |
| Puerto Rican Organization to Motivate Enlighten and Serve Addicts, INC | Bronx, NY | $23.48M |
| Bronx Addiction Services Integrated Concepts System INC | Bronx, NY | $19.91M |
| LA Casa De Salud INC. | Bronx, NY | $8.58M |
| Greenhope Services for Women, INC. | New York, NY | $5.52M |
| LA Casa De Salud, INC | Bronx, NY | $4.49M |
| Puerto Rican Organization to Motivate Enlighten and Serve Addicts, INC | Dunkirk, NY | $3.87M |
| Community Association of Progressive Dominicans, INC | New York, NY | $3.66M |
| El Regreso, INC. | Brooklyn, NY | $3.34M |
| Queens Village Committee for Mental Health for J-Cap, INC | Jamaica, NY | $816K |
| Puerto Rican Organization to Motivate, Enlighten and Serve Addicts, in | Bronx, NY | $255K |
| Puerto Rican Organization to Motivate Enlighten and Serve Addicts INC | New York, NY | $81K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.