Clinic
LA Maestra Family Clinic, INC.
LA Maestra Family Clinic, INC. was paid $202.14M by Medicaid between Jan 2018 and Dec 2024, across 299 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 66% of everything it billed.
33Billing provider infoLA MAESTRA FAMILY CLINIC, INC.
SAN DIEGO, CA 92105
SAN DIEGO, CA 92105
33aNPI1609849074assigned 02/08/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$202.14M
24GClaims3,509,617
24DCodes billed299
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#5 of 826
Median peer was paid$4.05M
This provider vs. median50×
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 | 381,026 | $29.94M | |
| 2019 | 286,870 | $18.60M | |
| 2020 | 422,157 | $25.23M | |
| 2021 | 560,976 | $29.72M | |
| 2022 | 512,306 | $25.47M | |
| 2023 | 642,841 | $35.06M | |
| 2024incomplete | 703,441 | $38.12M |
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 | 66% | 703,134 | 482,303 | $134.39M |
| 00003 | Internal/system code - not a standard HCPCS code | 28% | 212,232 | 142,517 | $56.83M |
| G9012 | Other specified case management service not elsewhere classified | 2.1% | 34,617 | 10,165 | $4.33M |
| 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% | 352,804 | 241,238 | $1.06M |
| 98940 | <1% | 63,145 | 31,648 | $687K | |
| 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% | 133,183 | 98,185 | $656K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 2,915 | 1,338 | $578K |
| 59425 | <1% | 10,249 | 7,065 | $500K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 36,724 | 15,468 | $445K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 6,657 | 2,977 | $193K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 3,400 | 2,424 | $186K |
| 92081 | <1% | 59,620 | 46,259 | $156K |
287 more codes
| 99000 | <1% | 148,586 | $137K | |
| 76801 | <1% | 2,301 | $122K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 109,892 | $112K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 7,742 | $108K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 2,003 | $85K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 1,197 | $77K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 6,625 | $67K |
| 99401 | <1% | 12,300 | $63K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 3,807 | $63K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 5,870 | $63K |
| 0012A | <1% | 1,475 | $58K | |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 1,245 | $53K |
| 90686 | <1% | 26,943 | $50K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 5,820 | $49K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 14,122 | $40K |
| 92551 | <1% | 56,003 | $39K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,528 | $39K |
| G0467 | Community health center visit, returning patient | <1% | 2,010 | $35K |
| 90750 | <1% | 957 | $35K | |
| H0043 | Supported housing, per diem | <1% | 245 | $35K |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 45,258 | $34K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 14,200 | $33K |
| 0011A | <1% | 1,394 | $32K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 105 | $32K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,380 | $31K |
| 90739 | <1% | 1,205 | $31K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 11,060 | $29K |
| 97813 | <1% | 2,551 | $27K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 2,577 | $25K |
| 0002A | <1% | 534 | $25K | |
| 97814 | <1% | 2,512 | $24K | |
| 59430 | <1% | 462 | $24K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 6,994 | $20K |
| 0001A | <1% | 506 | $20K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 7,735 | $18K |
| 99402 | <1% | 1,327 | $17K | |
| 76813 | <1% | 233 | $17K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 1,855 | $17K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 51,443 | $16K |
| 99442 | <1% | 123,192 | $14K | |
| 0064A | <1% | 263 | $14K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 8,862 | $13K |
| 81025 | <1% | 14,727 | $13K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 17,931 | $13K |
| 90670 | <1% | 6,460 | $13K | |
| 90651 | <1% | 2,703 | $11K | |
| 97810 | <1% | 1,170 | $11K | |
| 99404 | <1% | 733 | $11K | |
| 91200 | <1% | 1,174 | $9K | |
| 97811 | <1% | 1,120 | $9K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 2,091 | $8K |
| 90715 | <1% | 2,302 | $8K | |
| 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% | 1,414 | $8K |
| 90677 | <1% | 1,591 | $7K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,673 | $7K |
| 0072A | <1% | 114 | $6K | |
| 90716 | <1% | 772 | $6K | |
| 0124A | <1% | 302 | $6K | |
| 11981 | <1% | 113 | $6K | |
| H1002 | Prenatal care, at risk enhanced service; care coordination | <1% | 88 | $6K |
| 90678 | <1% | 49 | $5K | |
| 90656 | <1% | 2,834 | $5K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 48,168 | $5K |
| 11976 | <1% | 143 | $5K | |
| 90648 | <1% | 5,272 | $4K | |
| 0071A | <1% | 82 | $4K | |
| 99443 | <1% | 32,752 | $4K | |
| 81001 | <1% | 10,752 | $4K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 2,048 | $4K |
| 92015 | Determination of refractive state | <1% | 7,430 | $4K |
| 90633 | <1% | 4,645 | $4K | |
| 90734 | <1% | 2,699 | $4K | |
| 90480 | <1% | 672 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,793 | $3K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 8,357 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 74,282 | $3K |
| 90632 | <1% | 294 | $3K | |
| 90723 | <1% | 3,542 | $3K | |
| 99441 | <1% | 77,834 | $3K | |
| 85018 | <1% | 22,612 | $2K | |
| 90620 | <1% | 462 | $2K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,781 | $2K |
| 99383 | <1% | 241 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 16,387 | $2K |
| 90714 | <1% | 582 | $2K | |
| 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% | 80 | $2K |
| 58300 | <1% | 50 | $2K | |
| 90662 | <1% | 255 | $2K | |
| 90707 | <1% | 730 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,979 | $2K |
| 0031A | <1% | 67 | $2K | |
| 0054A | <1% | 28 | $1K | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 76,042 | $1K |
| 90681 | <1% | 1,852 | $1K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 21 | $1K |
| 97803 | <1% | 370 | $1K | |
| 90654 | <1% | 208 | $1K | |
| 90710 | <1% | 1,441 | $1K | |
| 90697 | <1% | 1,403 | $1K | |
| 90688 | <1% | 512 | $1K | |
| H0049 | Alcohol and/or drug screening | <1% | 13,328 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,271 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,373 | $1K |
| 99384 | <1% | 130 | $1K | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 71,026 | $1K |
| 0082A | <1% | 13 | $871.00 | |
| 3078F | <1% | 33,277 | $855.67 | |
| 57454 | <1% | 30 | $846.84 | |
| 90700 | <1% | 757 | $683.12 | |
| 81003 | <1% | 4,209 | $671.89 | |
| 87340 | <1% | 5,698 | $577.90 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 227 | $524.41 |
| 0004A | <1% | 12 | $482.00 | |
| 90696 | <1% | 382 | $418.46 | |
| 99381 | <1% | 779 | $405.90 | |
| 99403 | <1% | 88 | $405.00 | |
| 99385 | <1% | 37 | $358.05 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 128 | $275.92 |
| 96156 | <1% | 13,459 | $258.80 | |
| 90461 | <1% | 6,033 | $255.61 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 128 | $220.14 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 18,402 | $177.92 |
| 90647 | <1% | 136 | $167.38 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 18,435 | $161.29 |
| 88142 | <1% | 7,853 | $151.52 | |
| 90713 | <1% | 108 | $136.45 | |
| 3074F | <1% | 38,442 | $116.40 | |
| 96160 | <1% | 9,916 | $116.07 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 12,182 | $113.54 |
| 86803 | <1% | 8,197 | $96.81 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 40,949 | $91.78 |
| 99188 | <1% | 506 | $88.75 | |
| 3008F | <1% | 14,193 | $82.35 | |
| 86592 | <1% | 9,053 | $73.48 | |
| 1036F | <1% | 14,875 | $71.95 | |
| 86580 | <1% | 187 | $71.19 | |
| 1031F | <1% | 15,035 | $68.30 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 34,275 | $66.46 |
| 80053 | Comprehensive metabolic panel | <1% | 48,752 | $59.83 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 5,714 | $58.74 |
| 82105 | <1% | 842 | $58.29 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 36,737 | $50.48 |
| 3044F | <1% | 8,083 | $48.45 | |
| 80061 | Lipid panel | <1% | 46,255 | $46.30 |
| 90657 | <1% | 30 | $45.00 | |
| 3725F | <1% | 7,554 | $43.10 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 7,269 | $41.70 |
| 82962 | <1% | 303 | $38.82 | |
| 85048 | <1% | 169 | $36.58 | |
| 87480 | <1% | 2,101 | $35.93 | |
| 98960 | <1% | 185 | $34.00 | |
| 87660 | <1% | 2,101 | $28.30 | |
| 87510 | <1% | 2,102 | $28.30 | |
| 80055 | <1% | 1,241 | $23.75 | |
| 86787 | <1% | 668 | $20.88 | |
| 86480 | <1% | 4,417 | $20.00 | |
| 90655 | <1% | 16 | $18.71 | |
| 87081 | <1% | 929 | $18.00 | |
| 82607 | <1% | 6,963 | $16.33 | |
| 1000F | <1% | 2,248 | $15.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 127 | $14.86 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 1,615 | $12.70 |
| 82951 | <1% | 461 | $9.94 | |
| 90380 | <1% | 29 | $9.00 | |
| 91320 | <1% | 344 | $9.00 | |
| 90381 | <1% | 30 | $9.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 4,855 | $8.00 |
| 3079F | <1% | 17,229 | $7.90 | |
| 83021 | <1% | 81 | $7.50 | |
| 84450 | <1% | 48 | $4.37 | |
| 3075F | <1% | 9,287 | $4.30 | |
| 82570 | <1% | 1,818 | $4.00 | |
| 1034F | <1% | 385 | $3.75 | |
| 82075 | <1% | 35 | $3.60 | |
| A4550 | Surgical trays | <1% | 243 | $3.00 |
| 82746 | <1% | 5,204 | $3.00 | |
| 84439 | <1% | 5,175 | $2.75 | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | <1% | 12 | $2.10 |
| G0008 | Administration of influenza virus vaccine | <1% | 74 | $2.03 |
| 96151 | <1% | 2,095 | $2.00 | |
| 88302 | <1% | 35 | $1.75 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | <1% | 73 | $1.63 |
| 84702 | <1% | 127 | $1.50 | |
| 82043 | <1% | 2,988 | $1.50 | |
| 3077F | <1% | 3,478 | $1.15 | |
| 86593 | <1% | 594 | $1.00 | |
| 87088 | <1% | 1,067 | $0.98 | |
| 1160F | <1% | 187 | $0.90 | |
| 80076 | <1% | 171 | $0.80 | |
| 84436 | <1% | 1,134 | $0.80 | |
| 81329 | <1% | 23 | $0.75 | |
| 82947 | <1% | 59 | $0.75 | |
| 84146 | <1% | 33 | $0.75 | |
| 81220 | CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants | <1% | 26 | $0.75 |
| 3052F | <1% | 41 | $0.75 | |
| 3051F | <1% | 88 | $0.60 | |
| 85027 | <1% | 3,622 | $0.50 | |
| 1126F | <1% | 115 | $0.30 | |
| 86708 | 0% | 606 | $0.00 | |
| 99408 | 0% | 1,016 | $0.00 | |
| 82274 | 0% | 1,317 | $0.00 | |
| 83525 | 0% | 273 | $0.00 | |
| 86765 | 0% | 469 | $0.00 | |
| 99347 | 0% | 495 | $0.00 | |
| Z6414 | 0% | 2,688 | $0.00 | |
| 81513 | 0% | 1,670 | $0.00 | |
| Z6500 | 0% | 2,210 | $0.00 | |
| 80074 | 0% | 1,318 | $0.00 | |
| 3046F | 0% | 398 | $0.00 | |
| 83655 | 0% | 1,756 | $0.00 | |
| 83540 | 0% | 150 | $0.00 | |
| S9470 | Nutritional counseling, dietitian visit | 0% | 366 | $0.00 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 342 | $0.00 |
| 1033F | 0% | 2,409 | $0.00 | |
| Z6400 | 0% | 2,453 | $0.00 | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 0% | 1,939 | $0.00 |
| 81420 | Fetal chromosomal aneuploidy genomic sequence analysis panel | 0% | 319 | $0.00 |
| 83721 | 0% | 245 | $0.00 | |
| 86431 | 0% | 12 | $0.00 | |
| 3045F | 0% | 82 | $0.00 | |
| 82977 | 0% | 437 | $0.00 | |
| 86735 | 0% | 469 | $0.00 | |
| 87481 | 0% | 1,647 | $0.00 | |
| 85014 | 0% | 259 | $0.00 | |
| 90746 | 0% | 118 | $0.00 | |
| 86003 | 0% | 27 | $0.00 | |
| 2028F | 0% | 12 | $0.00 | |
| 85041 | 0% | 258 | $0.00 | |
| 4004F | 0% | 161 | $0.00 | |
| 82785 | 0% | 70 | $0.00 | |
| 87210 | 0% | 30 | $0.00 | |
| 84460 | 0% | 49 | $0.00 | |
| 83013 | 0% | 71 | $0.00 | |
| 90685 | 0% | 30 | $0.00 | |
| 99201 | 0% | 17 | $0.00 | |
| Z6208 | 0% | 100 | $0.00 | |
| 84550 | 0% | 36 | $0.00 | |
| 1032F | 0% | 162 | $0.00 | |
| 90658 | 0% | 53 | $0.00 | |
| 82565 | 0% | 12 | $0.00 | |
| 82248 | 0% | 13 | $0.00 | |
| 91312 | 0% | 55 | $0.00 | |
| 91300 | 0% | 19 | $0.00 | |
| 99382 | 0% | 13 | $0.00 | |
| 2022F | 0% | 16 | $0.00 | |
| 83951 | 0% | 14 | $0.00 | |
| 99173 | 0% | 16 | $0.00 | |
| 87338 | 0% | 13 | $0.00 | |
| 86706 | 0% | 1,129 | $0.00 | |
| Z6204 | 0% | 2,020 | $0.00 | |
| 86704 | 0% | 1,952 | $0.00 | |
| Z1034 | 0% | 18,149 | $0.00 | |
| Z1038 | 0% | 804 | $0.00 | |
| Z6410 | 0% | 8,916 | $0.00 | |
| 3080F | 0% | 1,214 | $0.00 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 0% | 1,664 | $0.00 |
| 86762 | 0% | 470 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 348 | $0.00 |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 1,413 | $0.00 |
| Z1032 | 0% | 1,956 | $0.00 | |
| 99349 | 0% | 67 | $0.00 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 278 | $0.00 |
| Z6406 | 0% | 9,509 | $0.00 | |
| 81000 | 0% | 473 | $0.00 | |
| 90474 | 0% | 162 | $0.00 | |
| Z6404 | 0% | 138 | $0.00 | |
| 84153 | 0% | 553 | $0.00 | |
| Z5220 | 0% | 293 | $0.00 | |
| 97802 | 0% | 36 | $0.00 | |
| 86701 | 0% | 307 | $0.00 | |
| 83001 | 0% | 34 | $0.00 | |
| 87522 | Neg quan hep c or qual rna | 0% | 200 | $0.00 |
| 57410 | 0% | 383 | $0.00 | |
| 91319 | 0% | 39 | $0.00 | |
| 83550 | 0% | 66 | $0.00 | |
| 84479 | 0% | 529 | $0.00 | |
| 82728 | 0% | 94 | $0.00 | |
| 87490 | 0% | 249 | $0.00 | |
| 87517 | 0% | 25 | $0.00 | |
| 4000F | 0% | 124 | $0.00 | |
| 91301 | 0% | 76 | $0.00 | |
| 19499 | 0% | 41 | $0.00 | |
| 87070 | 0% | 14 | $0.00 | |
| 84480 | 0% | 44 | $0.00 | |
| 91307 | 0% | 16 | $0.00 | |
| 96150 | 0% | 62 | $0.00 | |
| 86695 | 0% | 16 | $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 (CEO)
| Provider | Location | Paid |
|---|---|---|
| LA Maestra Family Clinic | San Diego, CA | $13.27M |
| LA Maestra Family Clinic, INC. | El Cajon, CA | $7.55M |
| LA Maestra Family Clinic, INC. | National City, CA | $3.39M |
| 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.