Clinic
LA Clinica Tepeyac, INC
LA Clinica Tepeyac, INC was paid $1.53M by Medicaid between Jan 2018 and Nov 2023, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoLA CLINICA TEPEYAC, INC
DENVER, CO 80216
DENVER, CO 80216
33aNPI1336516178assigned 08/27/2015
33bProvider typePrimary Care Clinic/Center
28Total paid$1.53M
24GClaims13,001
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Primary Care Clinic/Center providers in Colorado
Rank by total paid#15 of 101
Median peer was paid$140K
This provider vs. median11×
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 | 1,726 | $128K | |
| 2019 | 1,943 | $203K | |
| 2020 | 949 | $184K | |
| 2021 | 3,168 | $318K | |
| 2022 | 4,077 | $456K | |
| 2023 | 1,138 | $241K |
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 | 60% | 4,425 | 3,713 | $915K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 13% | 936 | 434 | $198K |
| D0999 | Unspecified diagnostic procedure, by report | 9.1% | 999 | 970 | $140K |
| 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 | 9.0% | 737 | 657 | $138K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 154 | 132 | $32K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 132 | 118 | $30K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 78 | 68 | $17K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 61 | 27 | $14K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 64 | 27 | $13K |
| D0191 | <1% | 54 | 45 | $10K | |
| 0012A | <1% | 128 | 126 | $4K | |
| D0190 | <1% | 247 | 194 | $4K |
18 more codes
| D0145 | Oral evaluation for a patient under three years of age | <1% | 47 | $3K |
| 0011A | <1% | 142 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 64 | $2K |
| 0013A | <1% | 57 | $2K | |
| 0071A | <1% | 14 | $638.29 | |
| D1206 | Topical application of fluoride varnish | <1% | 254 | $523.98 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 137 | $474.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 96 | $237.00 |
| D1120 | Dental cleaning, child | <1% | 33 | $216.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $211.97 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 323 | $59.30 |
| 90461 | <1% | 77 | $33.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,168 | $8.70 |
| 99000 | <1% | 2,127 | $3.02 | |
| 91300 | 0% | 26 | $0.00 | |
| 91301 | 0% | 371 | $0.00 | |
| 91307 | 0% | 25 | $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 officialGARCIA, JIM (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| LA Clinica Tepeyac, INC | Denver, CO | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.