Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FAMILY HEALTH CENTERS OF SAN DIEGO, INC

NPI: 1023054004 · SAN DIEGO, CA 92115 · Federally Qualified Health Center (FQHC) · NPI assigned 06/20/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ROMAN, RICARDO controls 20+ related entities in our dataset. Read more

$66.56M
Total Medicaid Paid
962,412
Total Claims
762,730
Beneficiaries
236
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialROMAN, RICARDO (CFO)
NPI Enumeration Date06/20/2006

Related Entities

Other providers sharing the same authorized official: ROMAN, RICARDO

ProviderCityStateTotal Paid
FAMILY HEALTH CENTERS OF SAN DIEGO, INC SAN DIEGO CA $152.45M
FAMILY HEALTH CENTERS OF SAN DIEGO INC SAN DIEGO CA $102.80M
FAMILY HEALTH CENTERS OF SAN DIEGO, INC. EL CAJON CA $97.05M
FAMILY HEALTH CENTERS OF SAN DIEGO INC SAN DIEGO CA $95.31M
FAMILY HEALTH CENTERS OF SAN DIEGO, INC SAN DIEGO CA $93.82M
FAMILY HEALTH CENTERS OF SAN DIEGO, INC SAN DIEGO CA $69.44M
FAMILY HEALTH CENTERS OF SAN DIEGO, INC CHULA VISTA CA $47.86M
FAMILY HEALTH CENTERS OF SAN DIEGO, INC SPRING VALLEY CA $47.71M
FAMILY HEALTH CENTERS OF SAN DIEGO INC NATIONAL CITY CA $40.79M
FAMILY HEALTH CENTERS OF SAN DIEGO, INC EL CAJON CA $26.36M
FAMILY HEALTH CENTERS OF SAN DIEGO, INC SAN DIEGO CA $23.70M
FAMILY HEALTH CENTERS OF SAN DIEGO INC SAN DIEGO CA $23.26M
FAMILY HEALTH CENTERS OF SAN DIEGO, INC SAN DIEGO CA $21.45M
FAMILY HEALTH CENTERS OF SAN DIEGO, INC LEMON GROVE CA $20.82M
FAMILY HEALTH CENTERS OF SAN DIEGO INC SAN DIEGO CA $19.92M
FAMILY HEALTH CENTERS OF SAN DIEGO INC SAN DIEGO CA $8.85M
FAMILY HEALTH CENTERS OF SAN DIEGO INC SAN DIEGO CA $8.04M
FAMILY HEALTH CENTERS OF SAN DIEGO SAN DIEGO CA $7.71M
FAMILY HEALTH CENTERS OF SAN DIEGO, INC SAN DIEGO CA $7.28M
FAMILY HEALTH CENTERS OF SAN DIEGO INC CHULA VISTA CA $3.79M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 76,750 $11.23M
2019 102,315 $10.15M
2020 161,774 $11.38M
2021 213,877 $12.84M
2022 199,316 $9.87M
2023 182,490 $9.94M
2024 25,890 $1.15M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 362,339 229,897 $55.25M
00003 Internal/system code - not a standard HCPCS code 48,897 21,688 $9.87M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 61,771 57,400 $142K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 74,321 67,927 $95K
97803 9,676 9,601 $88K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 8,154 4,072 $83K
80061 Lipid panel 15,365 15,338 $78K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 5,034 3,521 $68K
98940 7,302 5,276 $67K
84443 Thyroid stimulating hormone (TSH) 11,370 11,349 $63K
80053 Comprehensive metabolic panel 16,374 16,314 $60K
83036 Hemoglobin; glycosylated (A1C) 14,556 14,525 $50K
86480 3,016 3,003 $48K
90834 Psychotherapy, 45 minutes with patient 7,866 6,645 $44K
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 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 1,425 1,179 $40K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 6,105 6,087 $38K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 13,614 13,524 $32K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 2,860 2,825 $32K
0124A 512 445 $27K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 5,330 5,286 $26K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 5,323 5,281 $26K
82274 1,625 1,625 $22K
0134A 366 366 $21K
0013A 389 354 $20K
0004A 307 269 $15K
86803 3,629 3,617 $14K
87536 186 186 $11K
87428 1,532 1,519 $11K
H1003 Prenatal care, at-risk enhanced service; education 600 449 $10K
96156 535 474 $10K
86704 2,888 2,885 $9K
86706 3,290 3,284 $9K
0012A 123 118 $8K
80048 Basic metabolic panel (calcium, ionized) 2,443 2,425 $8K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,619 896 $7K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 459 421 $6K
0002A 107 102 $6K
0001A 96 93 $6K
86592 5,466 5,445 $6K
90792 Psychiatric diagnostic evaluation with medical services 1,180 1,178 $6K
83550 1,298 1,295 $5K
82043 2,103 2,097 $5K
87086 Culture, bacterial; quantitative colony count, urine 3,116 3,075 $5K
82570 2,292 2,283 $5K
0011A 76 71 $5K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 476 455 $5K
83540 1,406 1,401 $5K
98942 277 196 $4K
84439 903 900 $4K
99401 920 904 $4K
97161 105 105 $4K
90832 Psychotherapy, 30 minutes with patient 3,201 2,888 $3K
84460 1,440 1,434 $3K
97802 2,365 2,353 $3K
92551 4,422 4,406 $3K
84450 1,411 1,405 $3K
81025 5,566 5,414 $3K
84153 233 233 $3K
82728 1,484 1,480 $3K
98960 1,486 1,401 $3K
81015 3,756 3,684 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 492 492 $2K
82951 1,029 1,012 $2K
81002 7,925 6,332 $2K
86140 933 932 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 54 54 $2K
H1001 Prenatal care, at-risk enhanced service; antepartum management 31 31 $2K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit 20 14 $2K
90686 5,025 5,019 $2K
92250 59 59 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,662 2,628 $2K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 553 526 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14,808 13,933 $2K
90756 1,722 1,718 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13,415 13,257 $1K
90791 Psychiatric diagnostic evaluation 1,823 1,802 $1K
0003A 31 25 $1K
85651 1,451 1,446 $1K
H0043 Supported housing, per diem 131 98 $1K
87210 2,424 2,416 $1K
90472 Immunization administration, each additional vaccine (list separately) 2,027 2,019 $1K
93922 12 12 $815.88
G9920 Screening performed and negative 254 244 $783.00
85610 424 398 $765.24
81003 3,051 3,001 $759.21
H2000 Comprehensive multidisciplinary evaluation 16 13 $716.82
85018 3,174 3,153 $716.64
11721 279 279 $468.84
S9452 Nutrition classes, non-physician provider, per session 40 38 $460.00
36415 Collection of venous blood by venipuncture 19,132 18,610 $401.57
87070 1,223 1,217 $386.65
87522 Neg quan hep c or qual rna 97 87 $378.12
86708 46 46 $363.15
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 393 390 $361.65
90674 794 791 $344.10
90480 71 71 $320.00
90688 425 425 $300.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,445 1,437 $265.62
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,073 2,040 $192.80
85007 56 55 $130.08
87340 658 658 $127.68
82947 302 301 $99.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,392 1,391 $67.97
84550 24 24 $48.12
99000 8,507 8,347 $47.37
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,632 2,629 $37.39
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 776 772 $34.30
93000 1,035 1,025 $28.70
80354 286 277 $21.84
90611 86 86 $15.87
96127 5,105 4,653 $12.64
90698 1,181 1,180 $4.46
90670 2,088 2,087 $4.46
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,490 1,469 $0.00
Z6406 1,108 1,048 $0.00
3074F 4,234 4,108 $0.00
97162 705 690 $0.00
99406 974 929 $0.00
Z6204 611 603 $0.00
G9012 Other specified case management service not elsewhere classified 270 142 $0.00
87081 485 484 $0.00
99402 274 271 $0.00
90651 1,576 1,573 $0.00
94760 1,297 1,254 $0.00
90847 Family psychotherapy with the patient present, 50 minutes 24 12 $0.00
90680 1,048 1,047 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,072 1,027 $0.00
Z6402 568 568 $0.00
Z1038 84 84 $0.00
Z6410 834 826 $0.00
X3906 827 737 $0.00
Z1034 7,115 5,596 $0.00
97010 60 43 $0.00
80050 General health panel 59 59 $0.00
90694 195 194 $0.00
90732 339 336 $0.00
X3902 59 52 $0.00
90744 1,019 1,018 $0.00
X3924 7,918 7,244 $0.00
90716 163 163 $0.00
81001 301 290 $0.00
X4304 1,068 443 $0.00
90619 294 294 $0.00
99385 282 280 $0.00
Z1032 305 303 $0.00
X3908 1,350 930 $0.00
99381 393 392 $0.00
90696 299 299 $0.00
90739 212 212 $0.00
36416 221 220 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 114 113 $0.00
3008F 671 660 $0.00
X3910 277 201 $0.00
90677 266 266 $0.00
90697 447 447 $0.00
A9300 Exercise equipment 94 84 $0.00
3079F 204 199 $0.00
91303 41 41 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 64 64 $0.00
H0001 Alcohol and/or drug assessment 106 67 $0.00
0031A 41 41 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 32 32 $0.00
4000F 13 12 $0.00
G9008 Coordinated care fee, physician coordinated care oversight services 414 212 $0.00
86580 71 68 $0.00
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 62 61 $0.00
99383 27 27 $0.00
85027 71 70 $0.00
99384 14 14 $0.00
86769 31 31 $0.00
11055 26 26 $0.00
11730 12 12 $0.00
1101F 28 28 $0.00
3075F 25 25 $0.00
99459 25 25 $0.00
99386 12 12 $0.00
2023F 12 12 $0.00
83690 27 27 $0.00
83735 12 12 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 629 627 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,861 1,860 $0.00
90750 1,085 1,084 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 660 657 $0.00
96160 1,886 1,881 $0.00
90633 1,358 1,320 $0.00
T1013 Sign language or oral interpretive services, per 15 minutes 3,466 3,120 $0.00
99173 4,451 4,440 $0.00
Z6400 2,322 1,858 $0.00
92553 215 215 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,267 1,262 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,300 2,273 $0.00
90734 645 645 $0.00
97164 537 527 $0.00
90837 Psychotherapy, 53 minutes with patient 122 116 $0.00
99404 1,417 1,414 $0.00
3078F 3,466 3,378 $0.00
90648 147 147 $0.00
90715 1,997 1,996 $0.00
X3904 16,398 8,322 $0.00
Z6300 642 642 $0.00
99201 36 36 $0.00
90700 340 339 $0.00
Z6200 192 192 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 4,779 4,747 $0.00
Z6414 104 91 $0.00
90461 2,821 2,810 $0.00
69209 72 70 $0.00
1090F 44 44 $0.00
2028F 1,152 1,140 $0.00
90710 844 844 $0.00
Z6304 800 785 $0.00
Z6308 90 86 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 52 52 $0.00
80076 80 80 $0.00
90681 110 110 $0.00
91313 366 365 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 197 195 $0.00
99215 Prolong outpt/office vis 48 47 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 24 24 $0.00
98926 64 53 $0.00
91312 312 311 $0.00
Z6302 12 12 $0.00
91321 37 37 $0.00
90707 71 71 $0.00
1160F 42 42 $0.00
H2016 Comprehensive community support services, per diem 30 25 $0.00
X4110 82 44 $0.00
59025 Fetal non-stress test 87 52 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 14 14 $0.00
H0005 Alcohol and/or drug services; group counseling by a clinician 23 15 $0.00
90687 12 12 $0.00
3077F 12 12 $0.00
90713 13 12 $0.00
1003F 53 53 $0.00
90746 45 45 $0.00
91300 31 31 $0.00