Lab
LA Clinica De LA Raza INC
LA Clinica De LA Raza INC was paid $26.48M by Medicaid between Jan 2018 and Dec 2024, across 96 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 63% of everything it billed.
33Billing provider infoLA CLINICA DE LA RAZA INC
VALLEJO, CA 94590
VALLEJO, CA 94590
33aNPI1992811392assigned 08/21/2006
33bProvider typeClinical Medical Laboratory
28Total paid$26.48M
24GClaims352,329
24DCodes billed96
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in California
Rank by total paid#38 of 561
Median peer was paid$222K
This provider vs. median119×
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
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 | 26,954 | $2.35M | |
| 2019 | 29,420 | $2.13M | |
| 2020 | 34,776 | $2.28M | |
| 2021 | 43,466 | $3.44M | |
| 2022 | 58,174 | $4.41M | |
| 2023 | 82,114 | $6.00M | |
| 2024incomplete | 77,425 | $5.86M |
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 | 63% | 105,538 | 91,709 | $16.73M |
| 00003 | Internal/system code - not a standard HCPCS code | 33% | 40,358 | 37,395 | $8.84M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 96,953 | 55,915 | $195K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 6,460 | 3,060 | $108K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 32,100 | 17,336 | $90K |
| 90686 | <1% | 6,445 | 4,028 | $54K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 3,465 | 3,327 | $51K |
| 90677 | <1% | 674 | 444 | $50K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,264 | 884 | $43K |
| 90739 | <1% | 448 | 303 | $42K | |
| 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% | 10,939 | 6,496 | $38K |
| 59430 | <1% | 423 | 341 | $25K |
84 more codes
| 0011A | <1% | 593 | $20K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 121 | $16K |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 652 | $15K |
| 0012A | <1% | 387 | $14K | |
| 90715 | <1% | 599 | $11K | |
| 90656 | <1% | 938 | $10K | |
| 96156 | <1% | 528 | $9K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 243 | $8K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 502 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,904 | $8K |
| 99401 | <1% | 496 | $8K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,083 | $7K |
| 90651 | <1% | 812 | $6K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 196 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,984 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,550 | $4K |
| 90633 | <1% | 780 | $4K | |
| 97803 | <1% | 236 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,579 | $3K |
| 90662 | <1% | 280 | $3K | |
| 83655 | <1% | 493 | $3K | |
| 90670 | <1% | 549 | $3K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,364 | $3K |
| 59025 | Fetal non-stress test | <1% | 167 | $2K |
| H0049 | Alcohol and/or drug screening | <1% | 144 | $2K |
| 0072A | <1% | 48 | $2K | |
| 99188 | <1% | 199 | $2K | |
| 90671 | <1% | 416 | $2K | |
| 99283 | Emergency room visit (moderate) | <1% | 2,920 | $2K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 154 | $2K |
| 90698 | <1% | 375 | $2K | |
| 90744 | <1% | 360 | $2K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 55 | $1K |
| 0004A | <1% | 69 | $1K | |
| 90697 | <1% | 352 | $1K | |
| 92551 | <1% | 1,621 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 114 | $1K |
| 76801 | <1% | 30 | $1K | |
| 90734 | <1% | 226 | $1K | |
| 0071A | <1% | 33 | $1K | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 67 | $1K |
| 90688 | <1% | 67 | $1K | |
| 81025 | <1% | 607 | $983.50 | |
| 99383 | <1% | 168 | $765.47 | |
| 90681 | <1% | 153 | $639.00 | |
| 0031A | <1% | 12 | $480.00 | |
| 90716 | <1% | 92 | $459.00 | |
| 99382 | <1% | 19 | $434.34 | |
| 85018 | <1% | 4,860 | $407.33 | |
| 99384 | <1% | 103 | $404.16 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,187 | $362.83 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,187 | $348.46 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 169 | $292.85 |
| 90707 | <1% | 51 | $243.00 | |
| 90648 | <1% | 48 | $234.00 | |
| 90619 | <1% | 49 | $234.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 23 | $210.74 |
| 99381 | <1% | 16 | $139.26 | |
| 90700 | <1% | 21 | $117.00 | |
| 90710 | <1% | 12 | $99.00 | |
| 86580 | <1% | 191 | $84.00 | |
| 81002 | <1% | 254 | $83.22 | |
| 92015 | Determination of refractive state | <1% | 1,182 | $72.09 |
| 88720 | <1% | 21 | $25.80 | |
| Z6400 | 0% | 606 | $0.00 | |
| 99173 | 0% | 379 | $0.00 | |
| Z6304 | 0% | 122 | $0.00 | |
| Z6300 | 0% | 149 | $0.00 | |
| 2022F | 0% | 161 | $0.00 | |
| 91300 | 0% | 26 | $0.00 | |
| Z6308 | 0% | 12 | $0.00 | |
| Z6302 | 0% | 105 | $0.00 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 14 | $0.00 |
| Z6208 | 0% | 38 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 65 | $0.00 |
| Z6414 | 0% | 12 | $0.00 | |
| 3072F | 0% | 124 | $0.00 | |
| Z6406 | 0% | 558 | $0.00 | |
| Z1032 | 0% | 329 | $0.00 | |
| Z6204 | 0% | 506 | $0.00 | |
| 92250 | 0% | 50 | $0.00 | |
| Z1038 | 0% | 128 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 28 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 139 | $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)
| Provider | Location | Paid |
|---|---|---|
| LA Clinica De LA Raza INC | Oakland, CA | $91.19M |
| LA Clinica De LA Raza INC | Concord, CA | $41.19M |
| LA Clinica De LA Raza INC | Pittsburg, CA | $36.05M |
| LA Clinica De LA Raza, INC. | Oakland, CA | $35.38M |
| LA Clinica De LA Raza INC | Oakland, CA | $29.73M |
| LA Clinica De LA Raza INC | Oakland, CA | $27.31M |
| LA Clinica De LA Raza INC | Pittsburg, CA | $17.19M |
| LA Clinica De LA Raza, INC. | Oakley, CA | $10.68M |
| LA Clinica De LA Raza INC | Oakland, 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 INC | Vallejo, CA | $4.60M |
| LA Clinica De LA Raza INC | Vallejo, 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 INC | Oakland, CA | $855K |
| LA Clinica De LA Raza INC | Oakland, 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.