Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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LA Clinica De LA Raza, INC.

LA Clinica De LA Raza, INC. was paid $35.38M by Medicaid between Jan 2018 and Dec 2024, across 93 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.

33Billing provider infoLA CLINICA DE LA RAZA, INC.
OAKLAND, CA 94606
33aNPI1427070374assigned 07/23/2006
28Total paid$35.38M
24GClaims422,812
24DCodes billed93
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in California

Rank by total paid#29 of 561
Median peer was paid$222K
This provider vs. median159×

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 GARCIA, JANE controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
201851,032$6.46M
201951,564$4.63M
202058,799$4.91M
202165,739$5.25M
202254,506$4.06M
202365,251$4.90M
2024incomplete75,921$5.18M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 96% 157,446 133,953 $33.88M
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 1.1% 2,865 2,420 $389K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 1.1% 8,265 4,737 $380K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 103,783 64,488 $281K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 1,803 1,327 $136K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 2,255 1,394 $64K
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% 20,691 12,748 $51K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 26,145 15,406 $47K
0011A <1% 819 618 $27K
0012A <1% 494 390 $19K
0001A <1% 155 151 $7K
0054A <1% 153 152 $7K
81 more codes
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 5,232 $6K
90837 Psychotherapy session, about an hour <1% 58 $6K
0031A <1% 144 $6K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 2,175 $5K
99215 Doctor's office visit, returning patient (complex) <1% 1,761 $5K
0004A <1% 85 $5K
0064A <1% 93 $5K
0124A <1% 91 $4K
0002A <1% 72 $4K
0074A <1% 82 $4K
97803 <1% 4,236 $3K
92083 <1% 161 $3K
0082A <1% 43 $3K
G9920 Screening performed and negative <1% 1,394 $3K
97802 <1% 1,980 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 22,191 $2K
0072A <1% 63 $2K
90750 <1% 625 $2K
92133 <1% 123 $2K
90686 <1% 12,847 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 6,202 $2K
90739 <1% 236 $2K
0071A <1% 36 $2K
0081A <1% 28 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 3,955 $1K
99203 Doctor's office visit, new patient (routine) <1% 214 $933.30
90688 <1% 1,274 $729.43
90656 <1% 2,153 $535.33
H1003 Prenatal care, at-risk enhanced service; education <1% 387 $513.01
92250 <1% 44 $463.43
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 18 $411.60
90472 Immunization administration, each additional vaccine (list separately) <1% 5,796 $322.02
90677 <1% 163 $309.58
92551 <1% 3,242 $306.00
81025 <1% 524 $243.46
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 149 $239.60
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,303 $235.76
G9919 Screening performed and positive and provision of recommendations <1% 79 $232.00
96156 <1% 33 $120.00
90480 <1% 273 $116.00
90633 <1% 143 $105.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 52 $77.38
82962 <1% 593 $54.60
81002 <1% 428 $49.61
90698 <1% 609 $45.00
90670 <1% 923 $45.00
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 429 $38.43
96151 <1% 30 $38.36
83036 Hemoglobin; glycosylated (A1C) <1% 1,639 $27.06
82947 <1% 369 $21.29
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only <1% 16 $11.74
91321 <1% 110 $9.01
90685 <1% 33 $9.00
H0049 Alcohol and/or drug screening 0% 629 $0.00
90651 0% 393 $0.00
90697 0% 90 $0.00
Z1034 0% 301 $0.00
90619 0% 52 $0.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 0% 1,736 $0.00
Z6410 0% 388 $0.00
99460 0% 104 $0.00
3072F 0% 12 $0.00
G0008 Administration of influenza virus vaccine 0% 41 $0.00
Z6204 0% 42 $0.00
Z6406 0% 12 $0.00
99173 0% 3,230 $0.00
V2020 Frames, purchases 0% 1,614 $0.00
92341 0% 292 $0.00
92340 Fitting of spectacles, except for aphakia; monofocal 0% 1,192 $0.00
90662 0% 214 $0.00
92015 Determination of refractive state 0% 2,188 $0.00
90671 0% 215 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 46 $0.00
90734 0% 48 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 0% 24 $0.00
91322 0% 18 $0.00
90681 0% 33 $0.00
90715 0% 38 $0.00
Z6304 0% 19 $0.00
90658 0% 16 $0.00
Z6400 0% 12 $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, JANE (CHIEF EXECUTIVE OFFICER)
Parent organizationLA CLINICA DE LA RAZA, INC.
Same official

Other billing entities under GARCIA, JANE

Full network →
ProviderLocationPaid
LA Clinica De LA Raza INCOakland, CA$91.19M
LA Clinica De LA Raza INCConcord, CA$41.19M
LA Clinica De LA Raza INCPittsburg, CA$36.05M
LA Clinica De LA Raza INCOakland, CA$29.73M
LA Clinica De LA Raza INCOakland, CA$27.31M
LA Clinica De LA Raza INCVallejo, CA$26.48M
LA Clinica De LA Raza INCPittsburg, CA$17.19M
LA Clinica De LA Raza, INC.Oakley, CA$10.68M
LA Clinica De LA Raza INCOakland, CA$10.33M
LA Clinica De LA Raza, INC.Vallejo, CA$10.04M
LA Clinica De LA Raza, INC.Oakland, CA$6.94M
LA Clinica De LA Raza INCVallejo, CA$4.60M
LA Clinica De LA Raza INCVallejo, CA$4.04M
LA Clinica De LA Raza, INC.Oakland, CA$1.64M
LA Clinica De LA Raza, INC.Oakland, CA$1.10M
LA Clinica De LA Raza INCOakland, CA$855K
LA Clinica De LA Raza INCOakland, CA$362K
LA Clinica De LA Raza, INC.San Lorenzo, CA$286K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.