Physician
Clinica Medica De LA Mora INC
Clinica Medica De LA Mora INC was paid $105K by Medicaid between Jan 2018 and Nov 2024, across 77 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 14% of everything it billed.
33Billing provider infoCLINICA MEDICA DE LA MORA INC
SAN DIEGO, CA 92102
SAN DIEGO, CA 92102
33aNPI1649598772assigned 05/13/2010
33bProvider typeInternal Medicine Physician
28Total paid$105K
24GClaims82,658
24DCodes billed77
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#631 of 2,679
Median peer was paid$13K
This provider vs. median8.3×
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 | 10,427 | $20K | |
| 2019 | 7,283 | $20K | |
| 2020 | 11,708 | $21K | |
| 2021 | 19,685 | $22K | |
| 2022 | 17,269 | $15K | |
| 2023 | 10,648 | $6K | |
| 2024incomplete | 5,638 | $2K |
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 | 14% | 4,831 | 4,560 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 13% | 1,727 | 1,725 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 1,453 | 1,451 | $12K |
| 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 | 10% | 2,987 | 2,836 | $11K |
| 97802 | 8.5% | 7,017 | 6,723 | $9K | |
| 96156 | 6.7% | 1,070 | 1,069 | $7K | |
| 92552 | 6.5% | 4,336 | 4,336 | $7K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 454 | 448 | $5K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 3.5% | 4,658 | 4,495 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.9% | 418 | 416 | $3K |
| 90686 | 2.8% | 1,758 | 1,751 | $3K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 41 | 41 | $2K |
65 more codes
| 90734 | 1.8% | 451 | $2K | |
| 90649 | 1.1% | 555 | $1K | |
| 85018 | <1% | 4,856 | $1K | |
| 99384 | <1% | 28 | $888.72 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,400 | $821.03 |
| 99385 | <1% | 52 | $704.93 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,565 | $703.27 |
| 90681 | <1% | 12 | $654.80 | |
| 86580 | <1% | 858 | $620.99 | |
| G9920 | Screening performed and negative | <1% | 150 | $616.25 |
| 99000 | <1% | 2,205 | $581.69 | |
| 99205 | Prolong outpt/office vis | <1% | 12 | $430.84 |
| 99173 | <1% | 4,835 | $379.82 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 33 | $355.62 |
| 1220F | <1% | 1,259 | $310.37 | |
| 99383 | <1% | 31 | $262.56 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 148 | $257.61 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 57 | $257.40 |
| 90715 | <1% | 124 | $234.27 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 246 | $225.53 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 1,914 | $214.83 |
| 99080 | <1% | 258 | $180.00 | |
| 3074F | <1% | 5,199 | $178.90 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 221 | $119.50 |
| 90670 | <1% | 26 | $117.00 | |
| 1159F | <1% | 3,254 | $116.90 | |
| 1160F | <1% | 3,259 | $99.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,555 | $87.18 |
| 90647 | <1% | 12 | $81.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 888 | $78.41 |
| 90716 | <1% | 49 | $76.50 | |
| 90707 | <1% | 41 | $72.00 | |
| 3044F | <1% | 117 | $67.96 | |
| 92551 | <1% | 397 | $66.12 | |
| 90655 | <1% | 152 | $63.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 673 | $61.60 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,964 | $60.30 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 90 | $59.05 |
| 90723 | <1% | 12 | $45.00 | |
| 90648 | <1% | 12 | $36.00 | |
| 90633 | <1% | 12 | $27.00 | |
| 1126F | <1% | 2,576 | $24.00 | |
| 99442 | <1% | 111 | $10.00 | |
| 83655 | <1% | 25 | $5.27 | |
| 36416 | <1% | 654 | $3.36 | |
| 1170F | 0% | 447 | $0.00 | |
| 1125F | 0% | 1,293 | $0.00 | |
| 4037F | 0% | 549 | $0.00 | |
| 1157F | 0% | 108 | $0.00 | |
| 3079F | 0% | 881 | $0.00 | |
| 2016F | 0% | 105 | $0.00 | |
| 3080F | 0% | 132 | $0.00 | |
| 1130F | 0% | 68 | $0.00 | |
| 3075F | 0% | 87 | $0.00 | |
| 99447 | 0% | 86 | $0.00 | |
| 99386 | 0% | 13 | $0.00 | |
| 3078F | 0% | 4,482 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 123 | $0.00 |
| 1158F | 0% | 165 | $0.00 | |
| 96160 | 0% | 714 | $0.00 | |
| 99448 | 0% | 14 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 108 | $0.00 |
| 3077F | 0% | 111 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 18 | $0.00 |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | 0% | 56 | $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 officialDE LA MORA, OSCAR (OWNER)