Clinic
Clinica El Lago INC
Clinica El Lago INC was paid $1.27M by Medicaid between Jan 2018 and Nov 2022, across 15 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 76% of everything it billed.
33Billing provider infoCLINICA EL LAGO INC
WOODLAKE, CA 93286
WOODLAKE, CA 93286
33aNPI1386077857assigned 08/19/2013
33bProvider typeRural Health Clinic/Center
28Total paid$1.27M
24GClaims20,535
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#157 of 215
Median peer was paid$3.62M
This provider vs. median0.3×
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 | 5,216 | $337K | |
| 2019 | 5,868 | $289K | |
| 2020 | 3,931 | $244K | |
| 2021 | 4,009 | $285K | |
| 2022 | 1,511 | $111K |
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 | 76% | 8,885 | 6,303 | $968K |
| 98940 | 9.7% | 1,212 | 869 | $123K | |
| 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 | 7.0% | 1,541 | 1,122 | $88K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.4% | 6,599 | 4,811 | $43K |
| 00003 | Internal/system code - not a standard HCPCS code | 2.3% | 193 | 134 | $29K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 100 | 89 | $7K |
| 94760 | <1% | 1,702 | 1,315 | $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% | 153 | 123 | $2K |
| 81002 | <1% | 13 | 12 | $73.54 | |
| 99000 | <1% | 52 | 47 | $44.02 | |
| 82948 | 0% | 18 | 14 | $0.00 | |
| 99072 | 0% | 13 | 13 | $0.00 |
3 more codes
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 officialOCHOA, MARIO (OWNER/MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Mario A. Ochoa M.D. INC | Selma, CA | $3.17M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.