Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Vallejo › NPI 1720243454
Lab

LA Clinica De LA Raza, INC.

LA Clinica De LA Raza, INC. was paid $10.04M by Medicaid between Jan 2018 and Dec 2024, across 81 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.

33Billing provider infoLA CLINICA DE LA RAZA, INC.
VALLEJO, CA 94589
33aNPI1720243454assigned 07/22/2008
28Total paid$10.04M
24GClaims303,509
24DCodes billed81
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in California

Rank by total paid#74 of 561
Median peer was paid$222K
This provider vs. median45×

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 GARCIA, JANE controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
201827,750$1.20M
201930,267$868K
202039,455$1.37M
202154,474$1.78M
202249,418$1.46M
202354,398$1.77M
2024incomplete47,747$1.58M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 93% 106,108 96,319 $9.30M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.4% 89,633 54,120 $141K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 1.0% 7,007 6,828 $103K
90686 <1% 6,501 4,516 $69K
97802 <1% 903 665 $43K
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% 18,852 11,728 $40K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 2,515 1,430 $38K
97803 <1% 1,536 1,009 $35K
90739 <1% 312 191 $30K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 844 567 $26K
90677 <1% 332 211 $22K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 2,683 1,649 $21K
69 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 16,144 $18K
90832 Psychotherapy session, about 30 minutes <1% 1,654 $18K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 9,161 $14K
90715 <1% 540 $9K
90670 <1% 1,468 $9K
90651 <1% 219 $8K
0001A <1% 102 $7K
0002A <1% 103 $6K
99203 Doctor's office visit, new patient (routine) <1% 822 $6K
0004A <1% 113 $6K
0064A <1% 88 $6K
S9083 Global fee urgent care centers <1% 77 $6K
90750 <1% 84 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 3,383 $5K
90656 <1% 643 $5K
H0049 Alcohol and/or drug screening <1% 719 $4K
90698 <1% 928 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 284 $3K
90633 <1% 571 $3K
99215 Doctor's office visit, returning patient (complex) <1% 1,693 $3K
99381 <1% 160 $2K
90671 <1% 107 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 1,317 $2K
90744 <1% 646 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 160 $2K
90472 Immunization administration, each additional vaccine (list separately) <1% 2,993 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 696 $1K
90681 <1% 394 $1K
0072A <1% 34 $1K
92551 <1% 3,012 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 586 $1K
0071A <1% 15 $1K
99204 Doctor's office visit, new patient (more involved) <1% 129 $945.85
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% 103 $944.89
83655 <1% 175 $914.18
99283 Emergency room visit (moderate) <1% 3,026 $806.46
90716 <1% 138 $711.00
82947 <1% 4,277 $623.10
99188 <1% 65 $571.33
90707 <1% 112 $558.00
90700 <1% 86 $482.54
83036 Hemoglobin; glycosylated (A1C) <1% 3,655 $448.79
90688 <1% 23 $446.40
88720 <1% 225 $437.68
90710 <1% 125 $396.00
90685 <1% 15 $352.30
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 74 $316.11
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 29 $237.66
81002 <1% 436 $236.93
90648 <1% 50 $234.00
85018 <1% 2,234 $169.46
81025 <1% 84 $159.60
90696 <1% 25 $117.00
92552 <1% 150 $100.98
90619 <1% 23 $99.00
90734 <1% 26 $90.00
90697 <1% 22 $81.00
86580 <1% 166 $67.54
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 83 $24.00
82962 <1% 173 $20.00
90480 <1% 43 $9.00
99383 0% 32 $0.00
99384 0% 14 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 15 $0.00
99173 0% 1,345 $0.00
91322 0% 13 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 0% 133 $0.00
99382 0% 31 $0.00
91321 0% 12 $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 officialGARCIA, JANE (CHIEF EXECUTIVE OFFICER)
Same official

Other billing entities under GARCIA, JANE

Full network →
ProviderLocationPaid
LA Clinica De LA Raza INCOakland, CA$91.19M
LA Clinica De LA Raza INCConcord, CA$41.19M
LA Clinica De LA Raza INCPittsburg, CA$36.05M
LA Clinica De LA Raza, INC.Oakland, CA$35.38M
LA Clinica De LA Raza INCOakland, CA$29.73M
LA Clinica De LA Raza INCOakland, CA$27.31M
LA Clinica De LA Raza INCVallejo, CA$26.48M
LA Clinica De LA Raza INCPittsburg, CA$17.19M
LA Clinica De LA Raza, INC.Oakley, CA$10.68M
LA Clinica De LA Raza INCOakland, CA$10.33M
LA Clinica De LA Raza, INC.Oakland, CA$6.94M
LA Clinica De LA Raza INCVallejo, CA$4.60M
LA Clinica De LA Raza INCVallejo, CA$4.04M
LA Clinica De LA Raza, INC.Oakland, CA$1.64M
LA Clinica De LA Raza, INC.Oakland, CA$1.10M
LA Clinica De LA Raza INCOakland, CA$855K
LA Clinica De LA Raza INCOakland, CA$362K
LA Clinica De LA Raza, INC.San Lorenzo, CA$286K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.