Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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LA Familia Health Clinic PLLC

LA Familia Health Clinic PLLC was paid $2.46M by Medicaid between Sep 2020 and Dec 2024, across 79 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 24% of everything it billed.

33Billing provider infoLA FAMILIA HEALTH CLINIC PLLC
LAREDO, TX 78040
33aNPI1962063917assigned 06/20/2019
28Total paid$2.46M
24GClaims133,202
24DCodes billed79
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers

Next to other Urgent Care Clinic/Center providers in Texas

Rank by total paid#14 of 151
Median peer was paid$125K
This provider vs. median20×

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$50K$100K$150K2018201920202021202220232024
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
2020765$23K
20218,714$218K
202225,653$595K
202360,448$876K
2024incomplete37,622$750K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 24% 15,650 13,686 $585K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 11,488 9,773 $377K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 14% 20,665 14,356 $342K
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 12% 6,262 5,978 $292K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7.7% 17,090 15,352 $191K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6.8% 3,266 3,111 $167K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 6.0% 9,280 7,808 $148K
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 5.0% 1,628 1,583 $124K
86328 2.1% 1,477 1,365 $51K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,919 1,851 $24K
99000 <1% 2,242 2,015 $21K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 152 124 $20K
67 more codes
99050 <1% 1,117 $15K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 972 $12K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,188 $11K
99384 <1% 141 $10K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 137 $8K
0072A <1% 206 $8K
0071A <1% 178 $7K
87631 <1% 57 $7K
87807 <1% 845 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,023 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 57 $4K
99382 <1% 47 $4K
99383 <1% 44 $4K
0001A <1% 67 $3K
81003 <1% 1,655 $3K
97169 <1% 64 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,574 $2K
0002A <1% 38 $1K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 181 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 14 $1K
J1020 Injection, methylprednisolone acetate, 20 mg <1% 250 $846.67
90472 Immunization administration, each additional vaccine (list separately) <1% 50 $705.84
S9470 Nutritional counseling, dietitian visit <1% 81 $661.88
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 84 $653.18
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 38 $651.04
0064A <1% 16 $640.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 53 $594.72
0004A <1% 12 $440.00
94760 <1% 827 $401.10
J1010 Injection, methylprednisolone acetate, 1 mg <1% 76 $264.02
96160 <1% 167 $243.99
90461 <1% 64 $60.46
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 607 $14.84
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 215 $0.39
90651 <1% 147 $0.06
90621 <1% 60 $0.02
90677 <1% 12 $0.01
99051 0% 536 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 644 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 145 $0.00
99173 0% 309 $0.00
90658 0% 12 $0.00
94664 0% 941 $0.00
90715 0% 122 $0.00
90633 0% 76 $0.00
3078F 0% 3,641 $0.00
90710 0% 119 $0.00
99072 0% 27 $0.00
91300 0% 169 $0.00
3077F 0% 12 $0.00
90700 0% 12 $0.00
90733 0% 185 $0.00
3037F 0% 4,439 $0.00
3074F 0% 3,851 $0.00
3079F 0% 347 $0.00
90696 0% 83 $0.00
90686 0% 59 $0.00
2001F 0% 4,484 $0.00
91306 0% 16 $0.00
3008F 0% 4,275 $0.00
91307 0% 367 $0.00
36415 Collection of venous blood by venipuncture 0% 72 $0.00
2010F 0% 4,491 $0.00
96127 0% 102 $0.00
3075F 0% 108 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 45 $0.00
97802 0% 30 $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 officialRENDON, ROSA (NURSE PRACTITIONER/ADMINISTRATOR)