Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LA CLINICA TEPEYAC, INC

NPI: 1679162101 · DENVER, CO 80216 · Federally Qualified Health Center (FQHC) · NPI assigned 01/11/2021

$14K
Total Medicaid Paid
81
Total Claims
58
Beneficiaries
2
Codes Billed
2022-10
First Month
2023-01
Last Month

Provider Details

Authorized OfficialGARCIA, JIM (EXECUTIVE DIRECTOR)
Parent OrganizationLA CLINICA TEPEYAC, INC
NPI Enumeration Date01/11/2021

Related Entities

Other providers sharing the same authorized official: GARCIA, JIM

ProviderCityStateTotal Paid
LA CLINICA TEPEYAC, INC DENVER CO $1.53M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 64 $10K
2023 17 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0999 Unspecified diagnostic procedure, by report 60 43 $14K
D0190 21 15 $0.00