Clinic
LA Clinica De LA Raza INC
LA Clinica De LA Raza INC was paid $41.19M by Medicaid between Jan 2018 and Dec 2024, across 111 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 50% of everything it billed.
33Billing provider infoLA CLINICA DE LA RAZA INC
CONCORD, CA 94518
CONCORD, CA 94518
33aNPI1538181482assigned 07/23/2006
33bProvider typeDental Clinic/Center
28Total paid$41.19M
24GClaims400,059
24DCodes billed111
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#2 of 1,135
Median peer was paid$200K
This provider vs. median206×
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
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 | 36,388 | $6.63M | |
| 2019 | 37,209 | $5.38M | |
| 2020 | 52,641 | $5.19M | |
| 2021 | 75,811 | $6.88M | |
| 2022 | 59,880 | $4.95M | |
| 2023 | 74,535 | $6.00M | |
| 2024incomplete | 63,595 | $6.16M |
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 | 50% | 111,426 | 96,563 | $20.78M |
| 00003 | Internal/system code - not a standard HCPCS code | 41% | 72,518 | 68,402 | $17.01M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.2% | 77,883 | 47,879 | $1.31M |
| 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% | 19,853 | 12,823 | $395K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 26,937 | 14,784 | $276K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 4,077 | 2,369 | $196K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,778 | 1,045 | $140K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 8,619 | 8,526 | $102K |
| 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% | 769 | 661 | $98K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,229 | 1,927 | $79K |
| 90739 | <1% | 674 | 561 | $74K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,891 | 1,453 | $69K |
99 more codes
| 90677 | <1% | 639 | $65K | |
| 90750 | <1% | 755 | $62K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,919 | $51K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,291 | $49K |
| G9920 | Screening performed and negative | <1% | 1,608 | $40K |
| 99078 | <1% | 2,171 | $37K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,607 | $35K |
| 0011A | <1% | 1,041 | $31K | |
| V2020 | Frames, purchases | <1% | 1,653 | $29K |
| 92552 | <1% | 3,765 | $28K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14,584 | $22K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 716 | $20K |
| 0012A | <1% | 556 | $19K | |
| 92015 | Determination of refractive state | <1% | 2,916 | $14K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 808 | $13K |
| 92250 | <1% | 384 | $13K | |
| 90686 | <1% | 4,803 | $10K | |
| 90715 | <1% | 557 | $9K | |
| 92341 | <1% | 523 | $9K | |
| 90656 | <1% | 890 | $6K | |
| 0124A | <1% | 375 | $6K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 263 | $6K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 64 | $6K |
| 97802 | <1% | 85 | $6K | |
| 82947 | <1% | 2,517 | $5K | |
| 0004A | <1% | 188 | $5K | |
| 99173 | <1% | 4,814 | $5K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,765 | $5K |
| 0031A | <1% | 117 | $5K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 360 | $4K |
| 96156 | <1% | 140 | $4K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 151 | $4K |
| 90688 | <1% | 211 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 108 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 5,358 | $3K |
| 90662 | <1% | 63 | $3K | |
| 0054A | <1% | 138 | $3K | |
| 0072A | <1% | 47 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 22 | $2K |
| 90670 | <1% | 1,051 | $1K | |
| 0002A | <1% | 24 | $1K | |
| 90651 | <1% | 725 | $1K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 22 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 114 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 293 | $1K |
| 0111A | <1% | 15 | $1K | |
| 90658 | <1% | 55 | $893.00 | |
| 0112A | <1% | 12 | $804.00 | |
| 81025 | <1% | 397 | $749.28 | |
| 0064A | <1% | 18 | $720.00 | |
| 0071A | <1% | 15 | $600.00 | |
| 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% | 26 | $577.34 |
| 90698 | <1% | 568 | $535.93 | |
| 97803 | <1% | 12 | $526.03 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 77 | $425.94 |
| 90619 | <1% | 129 | $315.40 | |
| 81002 | <1% | 252 | $225.24 | |
| 90734 | <1% | 250 | $152.18 | |
| 92551 | <1% | 558 | $143.28 | |
| 90744 | <1% | 386 | $137.20 | |
| 90681 | <1% | 244 | $134.68 | |
| 99188 | <1% | 18 | $126.00 | |
| 90633 | <1% | 845 | $120.33 | |
| 90707 | <1% | 41 | $84.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 30 | $40.66 |
| 90480 | <1% | 63 | $40.00 | |
| 90700 | <1% | 50 | $33.32 | |
| 85018 | <1% | 18 | $12.08 | |
| 96380 | <1% | 21 | $11.25 | |
| 91300 | <1% | 80 | $0.02 | |
| 91312 | <1% | 270 | $0.01 | |
| 90671 | 0% | 182 | $0.00 | |
| Z6300 | 0% | 64 | $0.00 | |
| Z6302 | 0% | 55 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 48 | $0.00 |
| H1003 | Prenatal care, at-risk enhanced service; education | 0% | 13 | $0.00 |
| Z6304 | 0% | 238 | $0.00 | |
| 90648 | 0% | 153 | $0.00 | |
| 99382 | 0% | 59 | $0.00 | |
| Z6200 | 0% | 45 | $0.00 | |
| 90710 | 0% | 41 | $0.00 | |
| 91322 | 0% | 20 | $0.00 | |
| 2022F | 0% | 54 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 736 | $0.00 |
| 90696 | 0% | 45 | $0.00 | |
| 3072F | 0% | 399 | $0.00 | |
| 2023F | 0% | 234 | $0.00 | |
| 91305 | 0% | 89 | $0.00 | |
| Z6402 | 0% | 37 | $0.00 | |
| 90716 | 0% | 94 | $0.00 | |
| Z6204 | 0% | 72 | $0.00 | |
| Z1034 | 0% | 483 | $0.00 | |
| 90697 | 0% | 159 | $0.00 | |
| Z6406 | 0% | 28 | $0.00 | |
| 82962 | 0% | 287 | $0.00 | |
| 99383 | 0% | 17 | $0.00 | |
| 90723 | 0% | 61 | $0.00 | |
| 90474 | 0% | 22 | $0.00 | |
| 90620 | 0% | 19 | $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)
| Provider | Location | Paid |
|---|---|---|
| LA Clinica De LA Raza INC | Oakland, CA | $91.19M |
| LA Clinica De LA Raza INC | Pittsburg, CA | $36.05M |
| LA Clinica De LA Raza, INC. | Oakland, CA | $35.38M |
| LA Clinica De LA Raza INC | Oakland, CA | $29.73M |
| LA Clinica De LA Raza INC | Oakland, CA | $27.31M |
| LA Clinica De LA Raza INC | Vallejo, CA | $26.48M |
| LA Clinica De LA Raza INC | Pittsburg, CA | $17.19M |
| LA Clinica De LA Raza, INC. | Oakley, CA | $10.68M |
| LA Clinica De LA Raza INC | Oakland, 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 INC | Vallejo, CA | $4.60M |
| LA Clinica De LA Raza INC | Vallejo, 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 INC | Oakland, CA | $855K |
| LA Clinica De LA Raza INC | Oakland, 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.