NPI: 1093298879 · SAN DIEGO, CA 92115 · Federally Qualified Health Center (FQHC) · NPI assigned 09/08/2018
Authorized official ROMAN, RICARDO controls 20+ related entities in our dataset. Read more
| Authorized Official | ROMAN, RICARDO (CFO) |
| NPI Enumeration Date | 09/08/2018 |
Other providers sharing the same authorized official: ROMAN, RICARDO
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,332 | $99K |
| 2020 | 685 | $70K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 827 | 679 | $168K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 467 | 456 | $237.60 |
| 98960 | 62 | 60 | $139.88 | |
| 93000 | 12 | 12 | $28.41 | |
| 81002 | 40 | 40 | $2.13 | |
| 80061 | Lipid panel | 18 | 17 | $0.00 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 13 | 13 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12 | 12 | $0.00 |
| 59425 | 12 | 12 | $0.00 | |
| H1003 | Prenatal care, at-risk enhanced service; education | 45 | 45 | $0.00 |
| 97803 | 20 | 20 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 41 | 40 | $0.00 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 308 | 298 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 12 | 12 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 25 | 25 | $0.00 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 13 | 13 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 12 | 12 | $0.00 |
| 99000 | 15 | 15 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 12 | 12 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 12 | 12 | $0.00 |
| 97139 | 12 | 12 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 27 | 27 | $0.00 |