Clinic
LA Esperanza Clinic INC
LA Esperanza Clinic INC was paid $1.62M by Medicaid between Oct 2018 and Dec 2024, across 36 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 84% of everything it billed.
33Billing provider infoLA ESPERANZA CLINIC INC
SAN ANGELO, TX 76903
SAN ANGELO, TX 76903
33aNPI1770584187assigned 08/09/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.62M
24GClaims21,025
24DCodes billed36
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#95 of 248
Median peer was paid$796K
This provider vs. median2.0×
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 | 30 | $5K | |
| 2019 | 17 | $3K | |
| 2020 | 883 | $90K | |
| 2021 | 4,861 | $386K | |
| 2022 | 9,913 | $684K | |
| 2023 | 3,816 | $314K | |
| 2024incomplete | 1,505 | $140K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 84% | 9,207 | 7,431 | $1.37M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.2% | 4,678 | 4,126 | $117K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.9% | 2,313 | 2,140 | $47K |
| G0467 | Community health center visit, returning patientFederally 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 | 2.1% | 1,051 | 951 | $34K |
| 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 | 1.4% | 510 | 473 | $23K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 254 | 191 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 127 | 118 | $7K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 106 | 104 | $5K |
| 99000 | <1% | 441 | 408 | $3K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 28 | 24 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 42 | 40 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 28 | 28 | $1K |
24 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 33 | $1K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 62 | $1K |
| 99384 | <1% | 32 | $730.43 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 244 | $417.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 32 | $241.67 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $132.21 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 244 | $102.66 |
| 93000 | <1% | 12 | $92.50 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 15 | $56.76 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 300 | $9.92 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 12 | $5.20 |
| 92551 | <1% | 242 | $1.47 | |
| 90633 | 0% | 24 | $0.00 | |
| 90734 | 0% | 67 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 275 | $0.00 |
| 99173 | 0% | 177 | $0.00 | |
| 86328 | 0% | 12 | $0.00 | |
| 90715 | 0% | 46 | $0.00 | |
| 91300 | 0% | 16 | $0.00 | |
| 90670 | 0% | 16 | $0.00 | |
| 90686 | 0% | 32 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 12 | $0.00 |
| 91301 | 0% | 42 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 279 | $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 officialCASTANEDA, ROSIE (CFO)
| Provider | Location | Paid |
|---|---|---|
| LA Esperanza Clinic, INC. | San Angelo, TX | $2.09M |
| LA Esperanza Clinic, INC. | San Angelo, TX | $568K |
| LA Esperanza Clinic, INC. | San Angelo, TX | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.