Clinic
LA Clinica De LA Raza INC
LA Clinica De LA Raza INC was paid $4.04M by Medicaid between Jan 2018 and Jun 2023, across 44 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 82% of everything it billed.
33Billing provider infoLA CLINICA DE LA RAZA INC
VALLEJO, CA 94589
VALLEJO, CA 94589
33aNPI1992863096assigned 12/04/2006
33bProvider typeNon-Surgical Family Planning Clinic/Center
28Total paid$4.04M
24GClaims61,248
24DCodes billed44
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Non-Surgical Family Planning Clinic/Center providers in California
Rank by total paid#3 of 32
Median peer was paid$69K
This provider vs. median59×
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 | 12,400 | $1.16M | |
| 2019 | 11,666 | $836K | |
| 2020 | 11,453 | $698K | |
| 2021 | 16,332 | $882K | |
| 2022 | 8,398 | $443K | |
| 2023 | 999 | $15K |
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 | 82% | 27,311 | 20,950 | $3.33M |
| 59425 | 7.2% | 4,765 | 3,478 | $290K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.5% | 6,138 | 3,997 | $143K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 9,042 | 4,830 | $80K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 1.3% | 672 | 551 | $53K |
| H1003 | Prenatal care, at-risk enhanced service; education | 1.1% | 2,008 | 1,366 | $43K |
| H1000 | Prenatal care, at-risk assessment | <1% | 139 | 131 | $23K |
| 96156 | <1% | 981 | 708 | $16K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 583 | 553 | $9K |
| 97803 | <1% | 539 | 393 | $9K | |
| 99401 | <1% | 437 | 363 | $6K | |
| 81025 | <1% | 2,188 | 1,721 | $5K |
32 more codes
| 90686 | <1% | 336 | $4K | |
| 59430 | <1% | 94 | $4K | |
| 90715 | <1% | 190 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $3K |
| 96151 | <1% | 185 | $2K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 212 | $2K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 110 | $2K |
| 97802 | <1% | 96 | $2K | |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 153 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 33 | $2K |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 106 | $2K |
| 96152 | <1% | 85 | $975.56 | |
| 76801 | <1% | 24 | $697.95 | |
| 59025 | Fetal non-stress test | <1% | 43 | $533.52 |
| H0049 | Alcohol and/or drug screening | <1% | 419 | $432.00 |
| 81002 | <1% | 655 | $169.07 | |
| Z6208 | 0% | 76 | $0.00 | |
| Z6400 | 0% | 570 | $0.00 | |
| Z6414 | 0% | 167 | $0.00 | |
| Z6308 | 0% | 168 | $0.00 | |
| H1002 | Prenatal care, at risk enhanced service; care coordination | 0% | 248 | $0.00 |
| Z6304 | 0% | 235 | $0.00 | |
| Z6200 | 0% | 164 | $0.00 | |
| Z6300 | 0% | 20 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 136 | $0.00 |
| Z1032 | 0% | 471 | $0.00 | |
| Z6204 | 0% | 307 | $0.00 | |
| Z1034 | 0% | 826 | $0.00 | |
| Z6406 | 0% | 136 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 131 | $0.00 |
| Z6402 | 0% | 20 | $0.00 | |
| Z1038 | 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 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 | Vallejo, CA | $26.48M |
| 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. | 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.