Clinic
LA Maestra Family Clinic INC.
LA Maestra Family Clinic INC. was paid $12K by Medicaid between Nov 2023 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoLA MAESTRA FAMILY CLINIC INC.
EL CAJON, CA 92020
EL CAJON, CA 92020
33aNPI1740881085assigned 11/03/2020
33bProvider typeHealth Service Clinic/Center
28Total paid$12K
24GClaims11,041
24DCodes billed42
24AFirst – last monthNov 2023 – Dec 2024
Compared with peers
Next to other Health Service Clinic/Center providers in California
Rank by total paid#59 of 87
Median peer was paid$88K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2023 | 945 | $4K | |
| 2024incomplete | 10,096 | $8K |
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 | 45% | 1,239 | 1,101 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 23% | 1,326 | 1,197 | $3K |
| 92081 | 21% | 231 | 226 | $3K | |
| 92551 | 5.9% | 230 | 226 | $716.70 | |
| 99000 | 4.9% | 656 | 627 | $588.74 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 426 | 420 | $17.08 |
| 81001 | <1% | 167 | 163 | $16.62 | |
| H0049 | Alcohol and/or drug screening | <1% | 145 | 144 | $4.80 |
| 99442 | 0% | 1,132 | 999 | $0.00 | |
| 80061 | Lipid panel | 0% | 310 | 307 | $0.00 |
| 3725F | 0% | 126 | 124 | $0.00 | |
| 84439 | 0% | 39 | 39 | $0.00 |
30 more codes
| 3078F | 0% | 181 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 90 | $0.00 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 91 | $0.00 |
| 90461 | 0% | 17 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 12 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 18 | $0.00 |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 367 | $0.00 |
| 96156 | 0% | 140 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 415 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 492 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 118 | $0.00 |
| 3074F | 0% | 213 | $0.00 | |
| 3008F | 0% | 265 | $0.00 | |
| 85018 | 0% | 12 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 344 | $0.00 |
| 3075F | 0% | 56 | $0.00 | |
| 99441 | 0% | 379 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 308 | $0.00 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 233 | $0.00 |
| 3079F | 0% | 138 | $0.00 | |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 393 | $0.00 |
| 90656 | 0% | 42 | $0.00 | |
| 99443 | 0% | 33 | $0.00 | |
| 1036F | 0% | 278 | $0.00 | |
| 1031F | 0% | 130 | $0.00 | |
| 86592 | 0% | 83 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 12 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 16 | $0.00 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 91 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 47 | $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 officialVU, TOM (CHIEF OF RISK MANAGEMENT)
| Provider | Location | Paid |
|---|---|---|
| LA Maestra Family Clinic, INC. | San Diego, CA | $1.32M |
| Tom Vu Dental Corp | Huntington Beach, CA | $298K |
| Tom Vu Dental Corp | La Habra, CA | $25K |
| LA Maestra Family Clinic INC | El Cajon, CA | $8K |
| LA Maestra Family Clinic, INC. | San Diego, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.