Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN DIEGO › LA MAESTRA FAMILY CLINIC, INC.

LA MAESTRA FAMILY CLINIC, INC.

NPI: 1609849074 · SAN DIEGO, CA 92105 · Federally Qualified Health Center (FQHC) · NPI assigned 02/08/2006

$202.14M
Total Medicaid Paid
3,509,617
Total Claims
2,667,152
Beneficiaries
299
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARSELIAN, ZARA (CEO)
NPI Enumeration Date02/08/2006

Related Entities

Other providers sharing the same authorized official: MARSELIAN, ZARA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 703,441 $38.12M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 703,134 482,303 $134.39M
00003 Internal/system code - not a standard HCPCS code 212,232 142,517 $56.83M
G9012 Other specified case management service not elsewhere classified 34,617 10,165 $4.33M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 352,804 241,238 $1.06M
98940 63,145 31,648 $687K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 133,183 98,185 $656K
G9008 Coordinated care fee, physician coordinated care oversight services 2,915 1,338 $578K
59425 10,249 7,065 $500K
90832 Psychotherapy, 30 minutes with patient 36,724 15,468 $445K
90834 Psychotherapy, 45 minutes with patient 6,657 2,977 $193K
90791 Psychiatric diagnostic evaluation 3,400 2,424 $186K
92081 59,620 46,259 $156K
99000 148,586 127,119 $137K
76801 2,301 2,114 $122K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 109,892 73,060 $112K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 7,742 6,257 $108K
H1001 Prenatal care, at-risk enhanced service; antepartum management 2,003 1,393 $85K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,197 1,180 $77K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 6,625 4,948 $67K
99401 12,300 7,129 $63K
99215 Prolong outpt/office vis 3,807 3,034 $63K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 5,870 4,429 $63K
0012A 1,475 1,458 $58K
H2000 Comprehensive multidisciplinary evaluation 1,245 1,078 $53K
90686 26,943 22,993 $50K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,820 4,428 $49K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14,122 10,958 $40K
92551 56,003 44,036 $39K
90792 Psychiatric diagnostic evaluation with medical services 1,528 1,036 $39K
G0467 Federally 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 2,010 1,720 $35K
90750 957 873 $35K
H0043 Supported housing, per diem 245 91 $35K
T1014 Telehealth transmission, per minute, professional services bill separately 45,258 26,073 $34K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14,200 10,659 $33K
0011A 1,394 1,348 $32K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 105 78 $32K
90837 Psychotherapy, 53 minutes with patient 1,380 691 $31K
90739 1,205 1,133 $31K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 11,060 8,130 $29K
97813 2,551 1,651 $27K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,577 1,951 $25K
0002A 534 520 $25K
97814 2,512 1,625 $24K
59430 462 461 $24K
H1003 Prenatal care, at-risk enhanced service; education 6,994 4,155 $20K
0001A 506 491 $20K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,735 6,200 $18K
99402 1,327 1,034 $17K
76813 233 228 $17K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 1,855 937 $17K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 51,443 44,039 $16K
99442 123,192 80,380 $14K
0064A 263 262 $14K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 8,862 7,961 $13K
81025 14,727 11,942 $13K
90472 Immunization administration, each additional vaccine (list separately) 17,931 15,166 $13K
90670 6,460 5,401 $13K
90651 2,703 2,259 $11K
97810 1,170 781 $11K
99404 733 523 $11K
91200 1,174 1,026 $9K
97811 1,120 745 $9K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 2,091 1,338 $8K
90715 2,302 2,100 $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 1,414 1,414 $8K
90677 1,591 1,307 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,673 1,528 $7K
0072A 114 114 $6K
90716 772 704 $6K
0124A 302 298 $6K
11981 113 76 $6K
H1002 Prenatal care, at risk enhanced service; care coordination 88 88 $6K
90678 49 38 $5K
90656 2,834 2,382 $5K
83036 Hemoglobin; glycosylated (A1C) 48,168 45,992 $5K
11976 143 97 $5K
90648 5,272 4,409 $4K
0071A 82 81 $4K
99443 32,752 21,965 $4K
81001 10,752 10,306 $4K
J1050 Injection, medroxyprogesterone acetate, 1 mg 2,048 1,627 $4K
92015 Determination of refractive state 7,430 6,114 $4K
90633 4,645 3,850 $4K
90734 2,699 2,209 $4K
90480 672 573 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,793 1,439 $3K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 8,357 8,263 $3K
36415 Collection of venous blood by venipuncture 74,282 68,008 $3K
90632 294 290 $3K
90723 3,542 3,030 $3K
99441 77,834 54,977 $3K
85018 22,612 18,532 $2K
90620 462 379 $2K
90853 Group psychotherapy (other than of a multiple-family group) 1,781 641 $2K
99383 241 189 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 16,387 13,660 $2K
90714 582 554 $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 80 79 $2K
58300 50 39 $2K
90662 255 233 $2K
90707 730 692 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,979 2,636 $2K
0031A 67 63 $2K
0054A 28 28 $1K
S9452 Nutrition classes, non-physician provider, per session 76,042 70,477 $1K
90681 1,852 1,529 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 21 15 $1K
97803 370 328 $1K
90654 208 208 $1K
90710 1,441 1,235 $1K
90697 1,403 1,177 $1K
90688 512 505 $1K
H0049 Alcohol and/or drug screening 13,328 13,033 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,271 1,095 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,373 3,597 $1K
99384 130 95 $1K
S9451 Exercise classes, non-physician provider, per session 71,026 66,038 $1K
0082A 13 13 $871.00
3078F 33,277 31,561 $855.67
57454 30 24 $846.84
90700 757 633 $683.12
81003 4,209 3,558 $671.89
87340 5,698 5,014 $577.90
G0442 Annual alcohol misuse screening, 5 to 15 minutes 227 204 $524.41
0004A 12 12 $482.00
90696 382 333 $418.46
99381 779 740 $405.90
99403 88 52 $405.00
99385 37 24 $358.05
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 128 73 $275.92
96156 13,459 13,229 $258.80
90461 6,033 5,093 $255.61
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 128 113 $220.14
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 18,402 15,599 $177.92
90647 136 102 $167.38
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 18,435 15,629 $161.29
88142 7,853 6,155 $151.52
90713 108 93 $136.45
3074F 38,442 36,345 $116.40
96160 9,916 9,640 $116.07
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 12,182 10,920 $113.54
86803 8,197 7,221 $96.81
85025 Blood count; complete (CBC), automated, and automated differential WBC count 40,949 38,541 $91.78
99188 506 391 $88.75
3008F 14,193 14,063 $82.35
86592 9,053 7,978 $73.48
1036F 14,875 14,772 $71.95
86580 187 184 $71.19
1031F 15,035 14,910 $68.30
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 34,275 32,760 $66.46
80053 Comprehensive metabolic panel 48,752 46,748 $59.83
87086 Culture, bacterial; quantitative colony count, urine 5,714 4,811 $58.74
82105 842 683 $58.29
84443 Thyroid stimulating hormone (TSH) 36,737 35,076 $50.48
3044F 8,083 8,023 $48.45
80061 Lipid panel 46,255 44,821 $46.30
90657 30 30 $45.00
3725F 7,554 7,428 $43.10
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 7,269 7,189 $41.70
82962 303 286 $38.82
85048 169 165 $36.58
87480 2,101 1,574 $35.93
98960 185 147 $34.00
87660 2,101 1,575 $28.30
87510 2,102 1,576 $28.30
80055 1,241 1,066 $23.75
86787 668 599 $20.88
86480 4,417 4,074 $20.00
90655 16 16 $18.71
87081 929 710 $18.00
82607 6,963 6,794 $16.33
1000F 2,248 2,248 $15.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 127 99 $14.86
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,615 1,601 $12.70
82951 461 455 $9.94
90380 29 29 $9.00
91320 344 304 $9.00
90381 30 26 $9.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,855 4,621 $8.00
3079F 17,229 16,606 $7.90
83021 81 64 $7.50
84450 48 40 $4.37
3075F 9,287 9,047 $4.30
82570 1,818 1,777 $4.00
1034F 385 371 $3.75
82075 35 28 $3.60
A4550 Surgical trays 243 208 $3.00
82746 5,204 5,064 $3.00
84439 5,175 5,055 $2.75
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 12 12 $2.10
G0008 Administration of influenza virus vaccine 74 74 $2.03
96151 2,095 2,069 $2.00
88302 35 24 $1.75
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 73 73 $1.63
84702 127 97 $1.50
82043 2,988 2,914 $1.50
3077F 3,478 3,328 $1.15
86593 594 563 $1.00
87088 1,067 874 $0.98
1160F 187 186 $0.90
80076 171 163 $0.80
84436 1,134 1,105 $0.80
81329 23 20 $0.75
82947 59 49 $0.75
84146 33 26 $0.75
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 26 22 $0.75
3052F 41 39 $0.75
3051F 88 87 $0.60
85027 3,622 3,584 $0.50
1126F 115 114 $0.30
86708 606 598 $0.00
99408 1,016 1,006 $0.00
82274 1,317 1,295 $0.00
83525 273 227 $0.00
86765 469 466 $0.00
99347 495 471 $0.00
Z6414 2,688 1,657 $0.00
81513 1,670 1,451 $0.00
Z6500 2,210 2,205 $0.00
80074 1,318 1,291 $0.00
3046F 398 377 $0.00
83655 1,756 1,484 $0.00
83540 150 150 $0.00
S9470 Nutritional counseling, dietitian visit 366 366 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 342 331 $0.00
1033F 2,409 2,408 $0.00
Z6400 2,453 2,448 $0.00
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,939 1,682 $0.00
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 319 283 $0.00
83721 245 200 $0.00
86431 12 12 $0.00
3045F 82 82 $0.00
82977 437 425 $0.00
86735 469 466 $0.00
87481 1,647 1,434 $0.00
85014 259 255 $0.00
90746 118 118 $0.00
86003 27 25 $0.00
2028F 12 12 $0.00
85041 258 254 $0.00
4004F 161 150 $0.00
82785 70 69 $0.00
87210 30 24 $0.00
84460 49 40 $0.00
83013 71 70 $0.00
90685 30 30 $0.00
99201 17 15 $0.00
Z6208 100 69 $0.00
84550 36 36 $0.00
1032F 162 162 $0.00
90658 53 53 $0.00
82565 12 12 $0.00
82248 13 13 $0.00
91312 55 54 $0.00
91300 19 19 $0.00
99382 13 12 $0.00
2022F 16 16 $0.00
83951 14 14 $0.00
99173 16 16 $0.00
87338 13 13 $0.00
86706 1,129 1,114 $0.00
Z6204 2,020 1,802 $0.00
86704 1,952 1,938 $0.00
Z1034 18,149 12,650 $0.00
Z1038 804 803 $0.00
Z6410 8,916 4,812 $0.00
3080F 1,214 1,172 $0.00
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,664 1,447 $0.00
86762 470 467 $0.00
80048 Basic metabolic panel (calcium, ionized) 348 348 $0.00
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,413 1,238 $0.00
Z1032 1,956 1,956 $0.00
99349 67 64 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 278 247 $0.00
Z6406 9,509 6,002 $0.00
81000 473 472 $0.00
90474 162 139 $0.00
Z6404 138 85 $0.00
84153 553 548 $0.00
Z5220 293 293 $0.00
97802 36 26 $0.00
86701 307 305 $0.00
83001 34 28 $0.00
87522 Neg quan hep c or qual rna 200 194 $0.00
57410 383 381 $0.00
91319 39 29 $0.00
83550 66 66 $0.00
84479 529 522 $0.00
82728 94 94 $0.00
87490 249 247 $0.00
87517 25 25 $0.00
4000F 124 124 $0.00
91301 76 76 $0.00
19499 41 41 $0.00
87070 14 13 $0.00
84480 44 43 $0.00
91307 16 16 $0.00
96150 62 62 $0.00
86695 16 16 $0.00