Clinic
LA Maestra Family Clinic, INC.
LA Maestra Family Clinic, INC. was paid $3.39M by Medicaid between Jan 2018 and Dec 2024, across 125 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 60% of everything it billed.
33Billing provider infoLA MAESTRA FAMILY CLINIC, INC.
NATIONAL CITY, CA 91950
NATIONAL CITY, CA 91950
33aNPI1508949645assigned 10/23/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.39M
24GClaims153,584
24DCodes billed125
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#439 of 826
Median peer was paid$4.05M
This provider vs. median0.8×
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 | 44,030 | $1.57M | |
| 2019 | 43,544 | $1.49M | |
| 2020 | 19,370 | $317K | |
| 2021 | 10,080 | $556.92 | |
| 2022 | 10,701 | $385.94 | |
| 2023 | 14,182 | $2K | |
| 2024incomplete | 11,677 | $4K |
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 | 60% | 27,118 | 22,074 | $2.05M |
| 00003 | Internal/system code - not a standard HCPCS code | 37% | 8,120 | 5,058 | $1.25M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 13,127 | 11,642 | $37K |
| 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% | 6,683 | 5,970 | $27K |
| 92081 | <1% | 2,108 | 2,040 | $7K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,196 | 4,086 | $2K |
| 90686 | <1% | 2,112 | 2,013 | $2K | |
| 99000 | <1% | 7,682 | 7,072 | $2K | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 102 | 102 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 190 | 177 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,349 | 5,074 | $1K |
| 90670 | <1% | 174 | 150 | $1K |
113 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 129 | $987.94 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 67 | $907.02 |
| 92551 | <1% | 1,826 | $886.83 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 47 | $637.29 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 29 | $484.04 |
| 81001 | <1% | 549 | $471.21 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,564 | $450.42 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 211 | $448.56 |
| 90714 | <1% | 429 | $421.45 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,915 | $416.96 |
| 90707 | <1% | 233 | $414.81 | |
| 99401 | <1% | 48 | $398.60 | |
| 90716 | <1% | 196 | $371.44 | |
| 90688 | <1% | 96 | $331.08 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 11,054 | $302.98 |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 8,024 | $234.80 |
| 90739 | <1% | 156 | $219.79 | |
| 99442 | <1% | 3,740 | $199.50 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,124 | $181.90 |
| 81025 | <1% | 232 | $162.63 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 16 | $133.28 |
| 90662 | <1% | 89 | $132.60 | |
| 90633 | <1% | 46 | $117.32 | |
| 82962 | <1% | 797 | $76.00 | |
| 96160 | <1% | 171 | $72.90 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,220 | $72.90 |
| 87340 | <1% | 62 | $63.84 | |
| H0049 | Alcohol and/or drug screening | <1% | 1,812 | $55.80 |
| 99443 | <1% | 769 | $50.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 164 | $49.90 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 42 | $35.40 |
| 3044F | <1% | 1,635 | $28.80 | |
| 90647 | <1% | 17 | $27.00 | |
| 3074F | <1% | 2,301 | $19.20 | |
| 90655 | <1% | 15 | $18.71 | |
| 90734 | <1% | 56 | $18.00 | |
| 3078F | <1% | 1,882 | $10.80 | |
| 90651 | <1% | 71 | $9.00 | |
| 90620 | <1% | 14 | $9.00 | |
| 90732 | <1% | 16 | $9.00 | |
| 3079F | <1% | 1,063 | $9.00 | |
| 3075F | <1% | 515 | $5.10 | |
| 3725F | <1% | 824 | $2.10 | |
| 1036F | <1% | 1,301 | $2.10 | |
| 96151 | <1% | 430 | $2.00 | |
| 81003 | <1% | 71 | $1.96 | |
| 3008F | <1% | 1,090 | $1.80 | |
| 1000F | <1% | 515 | $1.80 | |
| 90461 | 0% | 218 | $0.00 | |
| 80061 | Lipid panel | 0% | 3,898 | $0.00 |
| 82570 | 0% | 99 | $0.00 | |
| 84439 | 0% | 72 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 336 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 395 | $0.00 |
| 99408 | 0% | 372 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 46 | $0.00 |
| 80074 | 0% | 13 | $0.00 | |
| 87660 | 0% | 31 | $0.00 | |
| 1033F | 0% | 572 | $0.00 | |
| 83655 | 0% | 41 | $0.00 | |
| 91312 | 0% | 30 | $0.00 | |
| 3045F | 0% | 28 | $0.00 | |
| 90715 | 0% | 77 | $0.00 | |
| 86480 | 0% | 148 | $0.00 | |
| 90658 | 0% | 46 | $0.00 | |
| 90750 | 0% | 51 | $0.00 | |
| 3077F | 0% | 92 | $0.00 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 46 | $0.00 |
| S9470 | Nutritional counseling, dietitian visit | 0% | 20 | $0.00 |
| 3051F | 0% | 12 | $0.00 | |
| 91320 | 0% | 35 | $0.00 | |
| 1032F | 0% | 13 | $0.00 | |
| 3046F | 0% | 13 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 14 | $0.00 |
| 82274 | 0% | 20 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 3,922 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 2,730 | $0.00 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 350 | $0.00 |
| 86592 | 0% | 155 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 2,592 | $0.00 |
| 96156 | 0% | 671 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 3,053 | $0.00 |
| 84436 | 0% | 44 | $0.00 | |
| 86701 | 0% | 31 | $0.00 | |
| 99441 | 0% | 1,049 | $0.00 | |
| 87510 | 0% | 31 | $0.00 | |
| 82043 | 0% | 270 | $0.00 | |
| 1031F | 0% | 1,278 | $0.00 | |
| 90656 | 0% | 155 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 322 | $0.00 |
| 85018 | 0% | 380 | $0.00 | |
| 87480 | 0% | 31 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 280 | $0.00 |
| 81000 | 0% | 69 | $0.00 | |
| Z5220 | 0% | 27 | $0.00 | |
| 82728 | 0% | 14 | $0.00 | |
| 86580 | 0% | 12 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 99 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 29 | $0.00 |
| 87088 | 0% | 16 | $0.00 | |
| 87490 | 0% | 27 | $0.00 | |
| 86803 | 0% | 101 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 18 | $0.00 |
| 85027 | 0% | 47 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 88 | $0.00 |
| Z1034 | 0% | 36 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 43 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 46 | $0.00 |
| 86593 | 0% | 60 | $0.00 | |
| 90480 | 0% | 52 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 19 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 20 | $0.00 |
| 88142 | 0% | 45 | $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 (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| LA Maestra Family Clinic, INC. | San Diego, CA | $202.14M |
| LA Maestra Family Clinic | San Diego, CA | $13.27M |
| LA Maestra Family Clinic, INC. | El Cajon, CA | $7.55M |
| 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.