Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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LA Clinica De LA Raza INC

LA Clinica De LA Raza INC was paid $17.19M by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 87% of everything it billed.

33Billing provider infoLA CLINICA DE LA RAZA INC
PITTSBURG, CA 94565
33aNPI1972525822assigned 07/23/2006
28Total paid$17.19M
24GClaims197,606
24DCodes billed71
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in California

Rank by total paid#51 of 561
Median peer was paid$222K
This provider vs. median77×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GARCIA, JANE controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
201811,730$2.32M
201916,223$2.04M
202028,588$2.37M
202139,540$2.89M
202233,003$2.18M
202339,075$2.68M
2024incomplete29,447$2.71M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 87% 65,376 57,299 $15.00M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.3% 60,713 34,850 $908K
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 1.5% 9,928 6,676 $254K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 1.3% 5,462 3,012 $225K
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 <1% 680 584 $120K
97802 <1% 1,748 1,194 $105K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 7,099 4,398 $95K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 1,097 696 $95K
97803 <1% 1,402 954 $72K
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 4,831 4,777 $62K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,700 1,007 $37K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 993 567 $30K
59 more codes
G9920 Screening performed and negative <1% 2,106 $29K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 1,398 $23K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 1,059 $14K
92552 <1% 1,941 $10K
0001A <1% 210 $9K
0011A <1% 212 $8K
92551 <1% 2,023 $8K
90686 <1% 2,995 $7K
0012A <1% 176 $7K
0002A <1% 93 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 97 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 5,933 $5K
99173 <1% 4,241 $5K
85018 <1% 3,810 $4K
0004A <1% 62 $4K
0054A <1% 85 $4K
90688 <1% 208 $3K
0124A <1% 262 $3K
0031A <1% 64 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 287 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 837 $2K
90480 <1% 308 $2K
99385 <1% 25 $2K
90656 <1% 179 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 20 $2K
81002 <1% 1,706 $2K
0071A <1% 22 $1K
99215 Doctor's office visit, returning patient (complex) <1% 60 $1K
96158 <1% 32 $1K
90658 <1% 75 $1K
0072A <1% 25 $1K
90651 <1% 806 $944.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 324 $798.98
90620 <1% 229 $782.64
G9919 Screening performed and positive and provision of recommendations <1% 62 $638.00
90662 <1% 12 $492.08
93000 <1% 19 $301.36
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 91 $246.60
90670 <1% 128 $241.00
90619 <1% 197 $167.81
81025 <1% 110 $151.06
90734 <1% 375 $146.81
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 21 $92.90
90633 <1% 104 $78.42
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 42 $75.60
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 24 $1.88
91322 <1% 54 $0.09
91321 <1% 37 $0.07
91312 0% 180 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 2,291 $0.00
90715 0% 65 $0.00
90648 0% 50 $0.00
99203 Doctor's office visit, new patient (routine) 0% 25 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 0% 16 $0.00
H0049 Alcohol and/or drug screening 0% 580 $0.00
90677 0% 71 $0.00
90698 0% 76 $0.00
36415 Collection of venous blood by venipuncture 0% 14 $0.00
99383 0% 23 $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 officialGARCIA, JANE (CHIEF EXECUTIVE OFFICER)
Same official

Other billing entities under GARCIA, JANE

Full network →
ProviderLocationPaid
LA Clinica De LA Raza INCOakland, CA$91.19M
LA Clinica De LA Raza INCConcord, CA$41.19M
LA Clinica De LA Raza INCPittsburg, CA$36.05M
LA Clinica De LA Raza, INC.Oakland, CA$35.38M
LA Clinica De LA Raza INCOakland, CA$29.73M
LA Clinica De LA Raza INCOakland, CA$27.31M
LA Clinica De LA Raza INCVallejo, CA$26.48M
LA Clinica De LA Raza, INC.Oakley, CA$10.68M
LA Clinica De LA Raza INCOakland, CA$10.33M
LA Clinica De LA Raza, INC.Vallejo, CA$10.04M
LA Clinica De LA Raza, INC.Oakland, CA$6.94M
LA Clinica De LA Raza INCVallejo, CA$4.60M
LA Clinica De LA Raza INCVallejo, CA$4.04M
LA Clinica De LA Raza, INC.Oakland, CA$1.64M
LA Clinica De LA Raza, INC.Oakland, CA$1.10M
LA Clinica De LA Raza INCOakland, CA$855K
LA Clinica De LA Raza INCOakland, CA$362K
LA Clinica De LA Raza, INC.San Lorenzo, CA$286K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.