Clinic
LA Maestra Family Clinic
LA Maestra Family Clinic was paid $13.27M by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 71% of everything it billed.
33Billing provider infoLA MAESTRA FAMILY CLINIC
SAN DIEGO, CA 92105
SAN DIEGO, CA 92105
33aNPI1336353721assigned 05/09/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$13.27M
24GClaims52,326
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#249 of 826
Median peer was paid$4.05M
This provider vs. median3.3×
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 | 2,546 | $212K | |
| 2019 | 1,601 | $241K | |
| 2020 | 4,353 | $865K | |
| 2021 | 4,611 | $866K | |
| 2022 | 7,202 | $1.93M | |
| 2023 | 15,451 | $4.32M | |
| 2024incomplete | 16,562 | $4.84M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 71% | 33,092 | 11,007 | $9.37M |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 13% | 8,431 | 4,834 | $1.74M |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 7.4% | 2,540 | 1,026 | $980K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 4,315 | 3,956 | $612K |
| H0043 | Supported housing, per diem | 3.0% | 1,019 | 368 | $393K |
| 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% | 345 | 341 | $72K |
| T2040 | Financial management, self-directed, waiver; per 15 minutes | <1% | 154 | 67 | $68K |
| T2041 | Supports brokerage, self-directed, waiver; per 15 minutes | <1% | 29 | 14 | $13K |
| J3490 | Unclassified drugs | <1% | 149 | 107 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 66 | 63 | $7K |
| 81025 | <1% | 1,532 | 1,513 | $4K | |
| 99000 | <1% | 533 | 529 | $2K |
5 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 30 | $0.00 |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 29 | $0.00 |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 29 | $0.00 |
| 90686 | 0% | 18 | $0.00 | |
| 3074F | 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, INC. | El Cajon, CA | $7.55M |
| 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.