Clinic
LA Casa De Salud INC.
LA Casa De Salud INC. was paid $8.58M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.
33Billing provider infoLA CASA DE SALUD INC.
BRONX, NY 10459
BRONX, NY 10459
33aNPI1548260870assigned 07/28/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$8.58M
24GClaims102,811
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New York
Rank by total paid#38 of 158
Median peer was paid$1.73M
This provider vs. median5.0×
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 | 7,244 | $475K | |
| 2019 | 14,816 | $1.21M | |
| 2020 | 15,538 | $1.37M | |
| 2021 | 13,361 | $957K | |
| 2022 | 10,939 | $973K | |
| 2023 | 14,195 | $1.30M | |
| 2024incomplete | 26,718 | $2.30M |
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 | 75% | 59,111 | 50,848 | $6.44M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 6.3% | 4,509 | 3,327 | $544K |
| 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 | 6.2% | 5,511 | 4,548 | $534K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.3% | 5,409 | 4,588 | $455K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.5% | 746 | 690 | $133K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.3% | 645 | 628 | $112K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 264 | 263 | $61K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 329 | 291 | $47K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 223 | 212 | $29K |
| 99406 | <1% | 1,100 | 1,011 | $29K | |
| 96127 | <1% | 9,505 | 8,434 | $21K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 401 | 320 | $19K |
36 more codes
| 99442 | <1% | 308 | $16K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 201 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 448 | $14K |
| D1110 | Prophylaxis - adult | <1% | 239 | $14K |
| 99386 | <1% | 88 | $13K | |
| 99385 | <1% | 95 | $12K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,537 | $11K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 68 | $10K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 231 | $9K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 87 | $8K |
| 11721 | <1% | 64 | $5K | |
| 0012A | <1% | 205 | $5K | |
| 99051 | <1% | 417 | $5K | |
| 0011A | <1% | 238 | $4K | |
| 99441 | <1% | 122 | $4K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 168 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 228 | $2K |
| 0064A | <1% | 60 | $2K | |
| 90686 | <1% | 79 | $2K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 62 | $1K |
| 90661 | <1% | 46 | $1K | |
| 96160 | <1% | 243 | $678.53 | |
| D0120 | Dental checkup, returning patient | <1% | 14 | $319.02 |
| D0274 | Bitewings - four radiographic images | <1% | 12 | $229.54 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 12 | $120.00 |
| 92551 | <1% | 12 | $61.82 | |
| 82948 | <1% | 27 | $54.45 | |
| 3079F | <1% | 206 | $7.51 | |
| 3008F | <1% | 4,052 | $5.01 | |
| 3074F | 0% | 231 | $0.00 | |
| 3044F | 0% | 603 | $0.00 | |
| 3075F | 0% | 91 | $0.00 | |
| 3080F | 0% | 91 | $0.00 | |
| 3078F | 0% | 207 | $0.00 | |
| 3077F | 0% | 251 | $0.00 | |
| 98960 | 0% | 15 | $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 |
| Greenhope Services for Women, INC. | New York, NY | $5.52M |
| LA Casa De Salud, INC | Bronx, NY | $5.24M |
| LA Casa De Salud, INC | Bronx, NY | $4.49M |
| 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.