Clinic
LA Casa De Salud, INC
LA Casa De Salud, INC was paid $4.49M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider infoLA CASA DE SALUD, INC
BRONX, NY 10451
BRONX, NY 10451
33aNPI1407225956assigned 09/15/2015
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$4.49M
24GClaims63,998
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in New York
Rank by total paid#21 of 118
Median peer was paid$372K
This provider vs. median12×
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
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 | 8,188 | $539K | |
| 2019 | 10,563 | $773K | |
| 2020 | 11,501 | $819K | |
| 2021 | 11,293 | $561K | |
| 2022 | 10,218 | $882K | |
| 2023 | 6,724 | $520K | |
| 2024incomplete | 5,511 | $400K |
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 | 64% | 28,927 | 23,989 | $2.89M |
| 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 | 13% | 5,462 | 4,795 | $564K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 6.9% | 2,550 | 1,517 | $311K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.1% | 3,078 | 2,599 | $275K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.6% | 1,385 | 1,271 | $162K |
| 99441 | 1.7% | 1,242 | 1,206 | $77K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 164 | 161 | $27K |
| 99442 | <1% | 409 | 391 | $26K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 209 | 196 | $24K |
| 97803 | <1% | 596 | 407 | $23K | |
| 96127 | <1% | 8,991 | 8,100 | $23K | |
| 90686 | <1% | 733 | 731 | $15K |
30 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 113 | $15K |
| 99385 | <1% | 136 | $12K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,169 | $9K |
| 99406 | <1% | 324 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 866 | $8K |
| 99386 | <1% | 66 | $5K | |
| 99490 | Ccm add 20min | <1% | 144 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 71 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 22 | $3K |
| 0012A | <1% | 57 | $2K | |
| 0011A | <1% | 78 | $2K | |
| 97804 | <1% | 23 | $916.28 | |
| 0064A | <1% | 19 | $698.64 | |
| 99051 | <1% | 61 | $692.64 | |
| 11721 | <1% | 12 | $626.84 | |
| 82948 | <1% | 185 | $505.80 | |
| 97802 | <1% | 13 | $497.20 | |
| 93000 | <1% | 55 | $372.63 | |
| 96160 | <1% | 152 | $368.01 | |
| 90656 | <1% | 28 | $325.44 | |
| 82962 | <1% | 71 | $188.51 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 18 | $149.05 |
| 3078F | 0% | 474 | $0.00 | |
| 3077F | 0% | 426 | $0.00 | |
| 3079F | 0% | 259 | $0.00 | |
| 3008F | 0% | 966 | $0.00 | |
| 3074F | 0% | 270 | $0.00 | |
| 3075F | 0% | 74 | $0.00 | |
| 3080F | 0% | 26 | $0.00 | |
| 3044F | 0% | 74 | $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)
| 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 | $5.24M |
| 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.