Clinic
Family Health Centers of San Diego, INC
Family Health Centers of San Diego, INC was paid $66.56M by Medicaid between Jan 2018 and Oct 2024, across 236 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 83% of everything it billed.
33Billing provider infoFAMILY HEALTH CENTERS OF SAN DIEGO, INC
SAN DIEGO, CA 92115
SAN DIEGO, CA 92115
33aNPI1023054004assigned 06/20/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$66.56M
24GClaims962,412
24DCodes billed236
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#48 of 826
Median peer was paid$4.05M
This provider vs. median16×
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 ROMAN, RICARDO controls 20+ 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 | 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 | |
| 2024incomplete | 25,890 | $1.15M |
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 | 83% | 362,339 | 229,897 | $55.25M |
| 00003 | Internal/system code - not a standard HCPCS code | 15% | 48,897 | 21,688 | $9.87M |
| 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% | 61,771 | 57,400 | $142K |
| 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% | 74,321 | 67,927 | $95K |
| 97803 | <1% | 9,676 | 9,601 | $88K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 8,154 | 4,072 | $83K |
| 80061 | Lipid panel | <1% | 15,365 | 15,338 | $78K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 5,034 | 3,521 | $68K |
| 98940 | <1% | 7,302 | 5,276 | $67K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 11,370 | 11,349 | $63K |
| 80053 | Comprehensive metabolic panel | <1% | 16,374 | 16,314 | $60K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14,556 | 14,525 | $50K |
224 more codes
| 86480 | <1% | 3,016 | $48K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 7,866 | $44K |
| G0467 | Community health center visit, returning patient | <1% | 1,425 | $40K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 6,105 | $38K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 13,614 | $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 | <1% | 2,860 | $32K |
| 0124A | <1% | 512 | $27K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 5,330 | $26K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 5,323 | $26K |
| 82274 | <1% | 1,625 | $22K | |
| 0134A | <1% | 366 | $21K | |
| 0013A | <1% | 389 | $20K | |
| 0004A | <1% | 307 | $15K | |
| 86803 | <1% | 3,629 | $14K | |
| 87536 | <1% | 186 | $11K | |
| 87428 | <1% | 1,532 | $11K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 600 | $10K |
| 96156 | <1% | 535 | $10K | |
| 86704 | <1% | 2,888 | $9K | |
| 86706 | <1% | 3,290 | $9K | |
| 0012A | <1% | 123 | $8K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 2,443 | $8K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 1,619 | $7K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 459 | $6K |
| 0002A | <1% | 107 | $6K | |
| 0001A | <1% | 96 | $6K | |
| 86592 | <1% | 5,466 | $6K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,180 | $6K |
| 83550 | <1% | 1,298 | $5K | |
| 82043 | <1% | 2,103 | $5K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 3,116 | $5K |
| 82570 | <1% | 2,292 | $5K | |
| 0011A | <1% | 76 | $5K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 476 | $5K |
| 83540 | <1% | 1,406 | $5K | |
| 98942 | <1% | 277 | $4K | |
| 84439 | <1% | 903 | $4K | |
| 99401 | <1% | 920 | $4K | |
| 97161 | <1% | 105 | $4K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 3,201 | $3K |
| 84460 | <1% | 1,440 | $3K | |
| 97802 | <1% | 2,365 | $3K | |
| 92551 | <1% | 4,422 | $3K | |
| 84450 | <1% | 1,411 | $3K | |
| 81025 | <1% | 5,566 | $3K | |
| 84153 | <1% | 233 | $3K | |
| 82728 | <1% | 1,484 | $3K | |
| 98960 | <1% | 1,486 | $3K | |
| 81015 | <1% | 3,756 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 492 | $2K |
| 82951 | <1% | 1,029 | $2K | |
| 81002 | <1% | 7,925 | $2K | |
| 86140 | <1% | 933 | $2K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 54 | $2K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 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 | <1% | 20 | $2K |
| 90686 | <1% | 5,025 | $2K | |
| 92250 | <1% | 59 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,662 | $2K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 553 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14,808 | $2K |
| 90756 | <1% | 1,722 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13,415 | $1K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,823 | $1K |
| 0003A | <1% | 31 | $1K | |
| 85651 | <1% | 1,451 | $1K | |
| H0043 | Supported housing, per diem | <1% | 131 | $1K |
| 87210 | <1% | 2,424 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,027 | $1K |
| 93922 | <1% | 12 | $815.88 | |
| G9920 | Screening performed and negative | <1% | 254 | $783.00 |
| 85610 | <1% | 424 | $765.24 | |
| 81003 | <1% | 3,051 | $759.21 | |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 16 | $716.82 |
| 85018 | <1% | 3,174 | $716.64 | |
| 11721 | <1% | 279 | $468.84 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 40 | $460.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 19,132 | $401.57 |
| 87070 | <1% | 1,223 | $386.65 | |
| 87522 | Neg quan hep c or qual rna | <1% | 97 | $378.12 |
| 86708 | <1% | 46 | $363.15 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 393 | $361.65 |
| 90674 | <1% | 794 | $344.10 | |
| 90480 | <1% | 71 | $320.00 | |
| 90688 | <1% | 425 | $300.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,445 | $265.62 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 2,073 | $192.80 |
| 85007 | <1% | 56 | $130.08 | |
| 87340 | <1% | 658 | $127.68 | |
| 82947 | <1% | 302 | $99.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,392 | $67.97 |
| 84550 | <1% | 24 | $48.12 | |
| 99000 | <1% | 8,507 | $47.37 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,632 | $37.39 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 776 | $34.30 |
| 93000 | <1% | 1,035 | $28.70 | |
| 80354 | <1% | 286 | $21.84 | |
| 90611 | <1% | 86 | $15.87 | |
| 96127 | <1% | 5,105 | $12.64 | |
| 90698 | <1% | 1,181 | $4.46 | |
| 90670 | <1% | 2,088 | $4.46 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,490 | $0.00 |
| Z6406 | 0% | 1,108 | $0.00 | |
| 3074F | 0% | 4,234 | $0.00 | |
| 97162 | 0% | 705 | $0.00 | |
| 99406 | 0% | 974 | $0.00 | |
| Z6204 | 0% | 611 | $0.00 | |
| G9012 | Other specified case management service not elsewhere classified | 0% | 270 | $0.00 |
| 87081 | 0% | 485 | $0.00 | |
| 99402 | 0% | 274 | $0.00 | |
| 90651 | 0% | 1,576 | $0.00 | |
| 94760 | 0% | 1,297 | $0.00 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 24 | $0.00 |
| 90680 | 0% | 1,048 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 1,072 | $0.00 |
| Z6402 | 0% | 568 | $0.00 | |
| Z1038 | 0% | 84 | $0.00 | |
| Z6410 | 0% | 834 | $0.00 | |
| X3906 | 0% | 827 | $0.00 | |
| Z1034 | 0% | 7,115 | $0.00 | |
| 97010 | 0% | 60 | $0.00 | |
| 80050 | General health panel | 0% | 59 | $0.00 |
| 90694 | 0% | 195 | $0.00 | |
| 90732 | 0% | 339 | $0.00 | |
| X3902 | 0% | 59 | $0.00 | |
| 90744 | 0% | 1,019 | $0.00 | |
| X3924 | 0% | 7,918 | $0.00 | |
| 90716 | 0% | 163 | $0.00 | |
| 81001 | 0% | 301 | $0.00 | |
| X4304 | 0% | 1,068 | $0.00 | |
| 90619 | 0% | 294 | $0.00 | |
| 99385 | 0% | 282 | $0.00 | |
| Z1032 | 0% | 305 | $0.00 | |
| X3908 | 0% | 1,350 | $0.00 | |
| 99381 | 0% | 393 | $0.00 | |
| 90696 | 0% | 299 | $0.00 | |
| 90739 | 0% | 212 | $0.00 | |
| 36416 | 0% | 221 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 114 | $0.00 |
| 3008F | 0% | 671 | $0.00 | |
| X3910 | 0% | 277 | $0.00 | |
| 90677 | 0% | 266 | $0.00 | |
| 90697 | 0% | 447 | $0.00 | |
| A9300 | Exercise equipment | 0% | 94 | $0.00 |
| 3079F | 0% | 204 | $0.00 | |
| 91303 | 0% | 41 | $0.00 | |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 64 | $0.00 |
| H0001 | Alcohol and/or drug assessment | 0% | 106 | $0.00 |
| 0031A | 0% | 41 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 32 | $0.00 |
| 4000F | 0% | 13 | $0.00 | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 414 | $0.00 |
| 86580 | 0% | 71 | $0.00 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 0% | 62 | $0.00 |
| 99383 | 0% | 27 | $0.00 | |
| 85027 | 0% | 71 | $0.00 | |
| 99384 | 0% | 14 | $0.00 | |
| 86769 | 0% | 31 | $0.00 | |
| 11055 | 0% | 26 | $0.00 | |
| 11730 | 0% | 12 | $0.00 | |
| 1101F | 0% | 28 | $0.00 | |
| 3075F | 0% | 25 | $0.00 | |
| 99459 | 0% | 25 | $0.00 | |
| 99386 | 0% | 12 | $0.00 | |
| 2023F | 0% | 12 | $0.00 | |
| 83690 | 0% | 27 | $0.00 | |
| 83735 | 0% | 12 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 629 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 1,861 | $0.00 |
| 90750 | 0% | 1,085 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 660 | $0.00 |
| 96160 | 0% | 1,886 | $0.00 | |
| 90633 | 0% | 1,358 | $0.00 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 3,466 | $0.00 |
| 99173 | 0% | 4,451 | $0.00 | |
| Z6400 | 0% | 2,322 | $0.00 | |
| 92553 | 0% | 215 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 1,267 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 2,300 | $0.00 |
| 90734 | 0% | 645 | $0.00 | |
| 97164 | 0% | 537 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 122 | $0.00 |
| 99404 | 0% | 1,417 | $0.00 | |
| 3078F | 0% | 3,466 | $0.00 | |
| 90648 | 0% | 147 | $0.00 | |
| 90715 | 0% | 1,997 | $0.00 | |
| X3904 | 0% | 16,398 | $0.00 | |
| Z6300 | 0% | 642 | $0.00 | |
| 99201 | 0% | 36 | $0.00 | |
| 90700 | 0% | 340 | $0.00 | |
| Z6200 | 0% | 192 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 4,779 | $0.00 |
| Z6414 | 0% | 104 | $0.00 | |
| 90461 | 0% | 2,821 | $0.00 | |
| 69209 | 0% | 72 | $0.00 | |
| 1090F | 0% | 44 | $0.00 | |
| 2028F | 0% | 1,152 | $0.00 | |
| 90710 | 0% | 844 | $0.00 | |
| Z6304 | 0% | 800 | $0.00 | |
| Z6308 | 0% | 90 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 52 | $0.00 |
| 80076 | 0% | 80 | $0.00 | |
| 90681 | 0% | 110 | $0.00 | |
| 91313 | 0% | 366 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 197 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 48 | $0.00 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 24 | $0.00 |
| 98926 | 0% | 64 | $0.00 | |
| 91312 | 0% | 312 | $0.00 | |
| Z6302 | 0% | 12 | $0.00 | |
| 91321 | 0% | 37 | $0.00 | |
| 90707 | 0% | 71 | $0.00 | |
| 1160F | 0% | 42 | $0.00 | |
| H2016 | Community support for mental illness or disability, billed per day | 0% | 30 | $0.00 |
| X4110 | 0% | 82 | $0.00 | |
| 59025 | Fetal non-stress test | 0% | 87 | $0.00 |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 14 | $0.00 |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 0% | 23 | $0.00 |
| 90687 | 0% | 12 | $0.00 | |
| 3077F | 0% | 12 | $0.00 | |
| 90713 | 0% | 13 | $0.00 | |
| 1003F | 0% | 53 | $0.00 | |
| 90746 | 0% | 45 | $0.00 | |
| 91300 | 0% | 31 | $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 officialROMAN, RICARDO (CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.