Clinic
LA Clinica Del Valle Family Health Care Center INC.
LA Clinica Del Valle Family Health Care Center INC. was paid $16.55M by Medicaid between Jan 2018 and Dec 2024, across 120 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoLA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.
MEDFORD, OR 97501
MEDFORD, OR 97501
33aNPI1851327571assigned 06/24/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$16.55M
24GClaims403,593
24DCodes billed120
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Oregon
Rank by total paid#5 of 90
Median peer was paid$254K
This provider vs. median65×
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 | 70,485 | $2.43M | |
| 2019 | 74,325 | $2.61M | |
| 2020 | 53,061 | $2.23M | |
| 2021 | 54,566 | $2.45M | |
| 2022 | 52,577 | $2.47M | |
| 2023 | 61,033 | $2.80M | |
| 2024incomplete | 37,546 | $1.56M |
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 | 31% | 72,869 | 62,888 | $5.05M |
| 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 | 21% | 43,782 | 36,528 | $3.49M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 9.6% | 15,982 | 7,262 | $1.60M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.8% | 5,036 | 4,292 | $631K |
| D0140 | Limited oral evaluation - problem focused | 3.6% | 14,416 | 13,534 | $604K |
| D1110 | Prophylaxis - adult | 2.9% | 10,279 | 10,169 | $473K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.3% | 12,801 | 12,653 | $378K |
| D1206 | Topical application of fluoride varnish | 2.2% | 24,152 | 22,975 | $368K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.9% | 2,065 | 1,144 | $320K |
| D7140 | Extraction, erupted tooth or exposed root | 1.7% | 3,604 | 2,139 | $274K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 27,572 | 26,229 | $264K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 4,865 | 4,017 | $263K |
108 more codes
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1.6% | 5,159 | $258K |
| D0274 | Bitewings - four radiographic images | 1.2% | 9,207 | $203K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 4,556 | $197K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.0% | 2,591 | $170K |
| H2014 | Skills training and development, per 15 minutes | 1.0% | 3,726 | $166K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 3,000 | $117K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,375 | $115K |
| 99442 | <1% | 1,988 | $113K | |
| D1351 | Sealant - per tooth | <1% | 7,214 | $111K |
| 90686 | <1% | 5,657 | $98K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 17,661 | $95K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 933 | $87K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,560 | $84K |
| D0191 | <1% | 7,007 | $74K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 28,671 | $62K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 739 | $53K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,565 | $53K |
| 99443 | <1% | 635 | $51K | |
| 0011A | <1% | 1,175 | $50K | |
| D0270 | <1% | 5,758 | $46K | |
| D1120 | Dental cleaning, child | <1% | 1,311 | $46K |
| 0012A | <1% | 1,096 | $46K | |
| D4910 | <1% | 686 | $44K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 506 | $38K |
| 87428 | <1% | 2,329 | $38K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 278 | $36K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,836 | $34K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 312 | $30K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 186 | $26K |
| D4341 | <1% | 255 | $20K | |
| 99441 | <1% | 499 | $17K | |
| 90670 | <1% | 808 | $17K | |
| 80305 | <1% | 2,828 | $13K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 327 | $12K |
| 90723 | <1% | 549 | $12K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,314 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,588 | $11K |
| D1354 | <1% | 879 | $10K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 165 | $9K |
| 99205 | Prolong outpt/office vis | <1% | 53 | $9K |
| 90647 | <1% | 406 | $9K | |
| G0467 | Community health center visit, returning patient | <1% | 2,112 | $8K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 78 | $8K |
| 0064A | <1% | 175 | $7K | |
| 90837 | Psychotherapy session, about an hour | <1% | 40 | $7K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 31 | $6K |
| 36416 | <1% | 3,854 | $6K | |
| 90677 | <1% | 80 | $6K | |
| 0071A | <1% | 143 | $6K | |
| H0032 | Mental health service plan development by non-physician | <1% | 62 | $6K |
| 90681 | <1% | 250 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 51 | $5K |
| 99188 | <1% | 465 | $5K | |
| 0031A | <1% | 102 | $5K | |
| 0134A | <1% | 141 | $5K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 53 | $5K |
| 0072A | <1% | 92 | $4K | |
| 90750 | <1% | 29 | $4K | |
| 96152 | <1% | 298 | $4K | |
| D2940 | <1% | 72 | $3K | |
| 90633 | <1% | 147 | $3K | |
| 90715 | <1% | 139 | $3K | |
| 90882 | <1% | 35 | $2K | |
| 90651 | <1% | 86 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 170 | $2K |
| 98925 | <1% | 73 | $2K | |
| 96160 | <1% | 1,392 | $2K | |
| 81002 | <1% | 889 | $2K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 75 | $2K |
| 90697 | <1% | 62 | $1K | |
| 99404 | <1% | 12 | $1K | |
| 0004A | <1% | 41 | $1K | |
| D4342 | <1% | 17 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 111 | $919.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 47 | $766.64 |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 12 | $664.18 |
| 90734 | <1% | 31 | $636.84 | |
| 99408 | <1% | 66 | $613.01 | |
| 99334 | <1% | 119 | $584.82 | |
| 92551 | <1% | 48 | $512.31 | |
| 99173 | <1% | 155 | $419.67 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 19 | $386.24 |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 9,163 | $289.00 |
| 90672 | <1% | 13 | $285.48 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 445 | $277.43 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 14 | $270.00 |
| 83655 | <1% | 26 | $184.36 | |
| 85018 | <1% | 98 | $152.92 | |
| 99409 | <1% | 44 | $110.00 | |
| D0603 | <1% | 10,656 | $43.55 | |
| D0602 | <1% | 194 | $0.99 | |
| 91313 | <1% | 141 | $0.05 | |
| 91306 | <1% | 176 | $0.02 | |
| 91301 | <1% | 382 | $0.01 | |
| D9995 | 0% | 465 | $0.00 | |
| 3008F | 0% | 85 | $0.00 | |
| 2000F | 0% | 124 | $0.00 | |
| D0601 | 0% | 39 | $0.00 | |
| 91307 | 0% | 272 | $0.00 | |
| 2010F | 0% | 130 | $0.00 | |
| 2001F | 0% | 125 | $0.00 | |
| 1036F | 0% | 27 | $0.00 | |
| 3074F | 0% | 69 | $0.00 | |
| 81000 | 0% | 21 | $0.00 | |
| 3078F | 0% | 55 | $0.00 | |
| 1159F | 0% | 66 | $0.00 | |
| 1160F | 0% | 66 | $0.00 | |
| 4004F | 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 officialJEANNOT, TARA (CHIEF OPERATIONS OFFICER)
Parent organizationLA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.