Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. District of Columbia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

La Clinica Del Pueblo, Inc. (NPI 1124227590)

Field	Value
Entity Type	Organization
Organization	La Clinica Del Pueblo, Inc.
Address	2831 15th Street Nw
City	Washington
State	DC
ZIP	20009
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 16, 2007

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	15,680	$130	$2M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	7,840	$30	$211.7K
G0467	Federally 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…	7,260	$30	$203.3K
T2022	Case management, per month	2,990	$70	$200.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	3,800	$10	$19K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	80	$140	$10.7K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	370	$20	$6.6K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	660	$10	$3.9K
0012A	N/A	110	$10	$1.2K
0011A	N/A	120	$10	$990

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other District of Columbia providers billing the same CPT/HCPCS codes.

Claims Volume vs. District of Columbia Distribution

La Clinica Del Pueblo, Inc. — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. District of Columbia median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	22	100	160	$110	$1.9M
G0467	Federally 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…	14	30	5,420	$40	$946K
T2022	Case management, per month	6	10	2,540	$120	$728.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	91	130	290	$140	$579.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	55	120	1,050	$110	$409.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	63	310	750	$70	$321.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	43	320	620	$50	$313.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	79	80	370	$130	$124.7K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	24	40	550	$40	$89K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	63	70	250	$40	$56.3K

Showing 1–10 of 26

Related Providers

Other providers that share a Tax Identification Number (TIN) with La Clinica Del Pueblo, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Karina Jordan	MD	Internal Medicine Physician	$274.7K	$80
Maria Lourdes Castineira	VA	Psychiatry Physician	$55.3K	$0
Ricardo Caldera	DC	Internal Medicine Physician	$46.5K	$0

Nearby Providers

Other providers in the same ZIP code as La Clinica Del Pueblo, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mary's Center For Maternal And Child Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$56.6M
Unity Health Care, Inc.	DC	Federally Qualified Health Center (FQHC)	$0	$48M
Community Of Hope, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$3.6M
Core Dc LLC	DC	Case Management Agency	$0	$2.6M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$2.3M
Sharmin Dental Clinic, P.C.	DC	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.8M
Nuvaya, Inc	DC	Substance Abuse Rehabilitation Facility	$0	$1.6M
Samuel Antwi	DC	Family Nurse Practitioner	$16K	$1.5M
Lenox Medical Supply Services, LLC	DC	Durable Medical Equipment & Medical Supplies	$0	$1M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$834.7K

La Clinica Del Pueblo, Inc. — Billing Profile & Reimbursement Data

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La Clinica Del Pueblo, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References