Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Clinica LA Familia, PC

Clinica LA Familia, PC was paid $39.47M by Medicaid between Jan 2018 and Dec 2024, across 173 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.

33Billing provider infoCLINICA LA FAMILIA, PC
PHOENIX, AZ 85032
33aNPI1780668921assigned 12/01/2005
33bProvider typeFamily Medicine Physician
28Total paid$39.47M
24GClaims1,223,110
24DCodes billed173
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Arizona

Rank by total paid#2 of 442
Median peer was paid$77K
This provider vs. median512×

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

$0$500K$1.0M2018201920202021202220232024
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
2018207,102$4.79M
2019192,676$4.68M
2020164,387$4.61M
2021192,997$6.45M
2022178,223$7.53M
2023163,525$6.27M
2024incomplete124,200$5.14M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 46% 320,402 266,656 $18.27M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32% 258,263 219,555 $12.44M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.5% 11,464 11,373 $986K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2.1% 9,761 9,576 $816K
90460 Immunization administration through 18 years of age via any route, first or only component 2.1% 25,811 25,223 $810K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.0% 10,366 10,275 $800K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2.0% 9,897 9,732 $796K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.7% 8,200 7,607 $688K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.1% 13,131 11,919 $453K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.0% 5,970 5,847 $399K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 4,534 4,475 $341K
36415 Collection of venous blood by venipuncture <1% 111,934 106,133 $296K
161 more codes
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 18,667 $263K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 11,069 $223K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 8,922 $209K
90686 <1% 19,755 $167K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 13,870 $141K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 1,929 $132K
99385 <1% 1,226 $111K
0012A <1% 2,290 $92K
0011A <1% 2,335 $80K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 5,052 $71K
0064A <1% 1,182 $63K
0002A <1% 906 $60K
0001A <1% 977 $57K
81002 <1% 21,413 $51K
0072A <1% 623 $48K
0071A <1% 659 $48K
99215 Doctor's office visit, returning patient (complex) <1% 968 $39K
99386 <1% 333 $36K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 434 $33K
93000 <1% 2,898 $29K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 779 $26K
76770 <1% 456 $26K
90656 <1% 1,140 $25K
99173 <1% 19,772 $23K
90662 <1% 2,707 $22K
99000 <1% 15,087 $22K
0054A <1% 268 $19K
0052A <1% 231 $18K
81025 <1% 2,771 $16K
92228 <1% 645 $15K
99383 <1% 190 $15K
99384 <1% 137 $14K
0004A <1% 207 $13K
99442 <1% 458 $13K
99397 <1% 816 $12K
96127 <1% 2,887 $12K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 2,581 $11K
0051A <1% 128 $10K
99188 <1% 837 $9K
99443 <1% 234 $9K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 314 $7K
0134A <1% 152 $7K
0031A <1% 114 $6K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 81 $6K
0053A <1% 78 $6K
87428 <1% 97 $5K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,036 $5K
76536 <1% 63 $5K
0124A <1% 73 $4K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 116 $4K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 2,174 $3K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 116 $3K
94760 <1% 5,553 $3K
90682 <1% 163 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 391 $2K
95911 <1% 16 $2K
99439 <1% 217 $2K
83014 <1% 443 $2K
86328 <1% 118 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 88 $2K
94761 <1% 2,129 $2K
92250 <1% 73 $2K
0013A <1% 43 $1K
82962 <1% 1,385 $1K
0034A <1% 15 $1K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 1,272 $1K
90670 <1% 982 $962.11
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 30 $851.65
99382 <1% 12 $810.86
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 166 $687.79
95117 <1% 107 $677.24
G0444 Annual depression screening, 5 to 15 minutes <1% 906 $662.30
81003 <1% 584 $637.43
99490 Ccm add 20min <1% 653 $507.64
90734 <1% 893 $441.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 132 $407.68
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 380 $305.88
90715 <1% 490 $300.66
90688 <1% 360 $298.98
G0008 Administration of influenza virus vaccine <1% 2,627 $280.59
76882 <1% 14 $260.62
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 45 $251.22
90651 <1% 1,924 $239.14
86580 <1% 14 $108.86
90633 <1% 448 $102.67
69209 <1% 16 $68.97
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 848 $46.92
3008F <1% 29,372 $7.76
A7015 Aerosol mask, used with dme nebulizer <1% 14 $7.56
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 13 $4.60
3078F <1% 16,090 $3.24
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 29,169 $3.12
1159F <1% 30,286 $3.03
1160F <1% 30,049 $3.03
G8420 Bmi is documented within normal parameters and no follow-up plan is required <1% 6,721 $3.02
4010F <1% 6,444 $1.54
G8754 Most recent diastolic blood pressure < 90 mmhg <1% 14,426 $0.89
91307 <1% 216 $0.77
4013F <1% 6,915 $0.69
91305 <1% 72 $0.38
3077F <1% 3,009 $0.32
91300 <1% 466 $0.25
91301 <1% 1,103 $0.22
G8753 Most recent systolic blood pressure >= 140 mmhg <1% 2,541 $0.21
91313 <1% 63 $0.16
3074F <1% 9,023 $0.15
G8752 Most recent systolic blood pressure < 140 mmhg <1% 8,691 $0.13
91306 <1% 158 $0.10
G9744 Patient not eligible due to active diagnosis of hypertension <1% 11,430 $0.08
1036F <1% 1,207 $0.06
G8756 No documentation of blood pressure measurement, reason not given <1% 229 $0.05
3079F <1% 2,082 $0.04
G8783 Normal blood pressure reading documented, follow-up not required <1% 1,267 $0.04
G8417 Bmi is documented above normal parameters and a follow-up plan is documented <1% 8,424 $0.02
91312 <1% 14 $0.02
1123F <1% 434 $0.01
3075F 0% 2,082 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 485 $0.00
90620 0% 455 $0.00
3048F 0% 988 $0.00
3044F 0% 924 $0.00
G8422 Bmi not documented, documentation the patient is not eligible for bmi calculation 0% 2,839 $0.00
G8473 Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed 0% 385 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 0% 1,830 $0.00
90680 0% 177 $0.00
G9745 Documented reason for not screening or recommending a follow-up for high blood pressure 0% 256 $0.00
3049F 0% 224 $0.00
90716 0% 421 $0.00
1170F 0% 62 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 19 $0.00
1006F 0% 212 $0.00
90744 0% 97 $0.00
90619 0% 278 $0.00
90698 0% 292 $0.00
3017F 0% 98 $0.00
3080F 0% 48 $0.00
1126F 0% 38 $0.00
3014F 0% 45 $0.00
1101F 0% 71 $0.00
90696 0% 14 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 0% 23 $0.00
G8482 Influenza immunization administered or previously received 0% 2,061 $0.00
90707 0% 387 $0.00
90700 0% 38 $0.00
0521F 0% 23 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 0% 39 $0.00
G8421 Bmi not documented and no reason is given 0% 234 $0.00
3050F 0% 48 $0.00
3046F 0% 32 $0.00
90713 0% 12 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 91 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 0% 54 $0.00
3288F 0% 76 $0.00
90648 0% 12 $0.00
G8785 Blood pressure reading not documented, reason not given 0% 27 $0.00
90685 0% 15 $0.00
G8598 Aspirin or another antiplatelet therapy used 0% 23 $0.00
4040F 0% 50 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 0% 38 $0.00
3045F 0% 22 $0.00
3051F 0% 14 $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 officialCELAYA, RICARDO (PRESIDENT)