Medicaid Provider Spending

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

FAMILY HEALTH CENTERS OF SAN DIEGO, INC

NPI: 1104861681 · EL CAJON, CA 92020 · Federally Qualified Health Center (FQHC) · NPI assigned 06/18/2006

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

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

$26.36M
Total Medicaid Paid
321,664
Total Claims
284,367
Beneficiaries
163
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROMAN, RICARDO (CFO)
NPI Enumeration Date06/18/2006

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 SAN DIEGO CA $66.56M
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 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 25,925 $3.35M
2019 31,315 $3.12M
2020 60,778 $4.22M
2021 59,577 $4.17M
2022 49,438 $3.58M
2023 51,793 $3.98M
2024 42,838 $3.93M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 143,657 115,733 $26.27M
90834 Psychotherapy, 45 minutes with patient 3,709 3,236 $19K
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 1,613 1,380 $18K
0134A 212 212 $11K
0013A 222 203 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26,018 24,483 $7K
0011A 103 99 $4K
0012A 63 60 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34,410 31,310 $4K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 255 240 $3K
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 85 82 $2K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 460 356 $2K
0124A 30 27 $2K
98940 210 172 $884.06
90686 2,206 2,205 $515.00
98960 94 83 $430.36
96110 Developmental screening, with scoring and documentation, per standardized instrument 750 749 $134.51
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,950 6,664 $131.14
90480 12 12 $40.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,878 6,847 $39.64
80053 Comprehensive metabolic panel 4,328 4,320 $27.57
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,571 4,541 $13.36
99406 425 407 $10.00
97802 1,293 1,291 $3.57
90734 207 207 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,559 1,558 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,468 1,467 $0.00
90715 476 476 $0.00
81003 1,342 1,326 $0.00
90670 510 510 $0.00
81025 728 725 $0.00
90633 566 554 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,728 1,728 $0.00
91313 192 192 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,137 1,126 $0.00
97803 5,012 4,997 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 770 762 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,078 1,073 $0.00
90461 1,061 1,060 $0.00
85610 262 247 $0.00
X4110 2,596 1,163 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 2,080 2,073 $0.00
90710 82 82 $0.00
99173 2,713 2,710 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,345 1,336 $0.00
99404 601 597 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 413 408 $0.00
90832 Psychotherapy, 30 minutes with patient 1,626 1,546 $0.00
82570 382 382 $0.00
80061 Lipid panel 3,445 3,444 $0.00
96160 1,505 1,504 $0.00
90750 396 396 $0.00
90791 Psychiatric diagnostic evaluation 665 664 $0.00
2028F 375 375 $0.00
86480 430 430 $0.00
T1013 Sign language or oral interpretive services, per 15 minutes 890 866 $0.00
81002 106 102 $0.00
90756 1,500 1,497 $0.00
90472 Immunization administration, each additional vaccine (list separately) 1,086 1,085 $0.00
X3904 2,172 1,067 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 720 718 $0.00
59425 81 78 $0.00
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 804 800 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 27 27 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 331 330 $0.00
92553 166 166 $0.00
82947 24 24 $0.00
83540 382 381 $0.00
91322 12 12 $0.00
85007 13 13 $0.00
99442 31 31 $0.00
82465 47 47 $0.00
83718 47 47 $0.00
90713 26 26 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 154 150 $0.00
99401 211 210 $0.00
90746 37 37 $0.00
84439 41 39 $0.00
H1003 Prenatal care, at-risk enhanced service; education 138 120 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 58 58 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 39 39 $0.00
3078F 26 26 $0.00
90707 13 13 $0.00
84460 38 38 $0.00
80076 37 37 $0.00
90681 25 25 $0.00
87210 193 191 $0.00
99188 18 18 $0.00
90661 251 251 $0.00
82274 28 28 $0.00
84450 38 38 $0.00
97530 Therapeutic activities, direct patient contact, each 15 minutes 20 12 $0.00
83721 14 14 $0.00
90653 17 17 $0.00
91312 13 13 $0.00
90700 14 14 $0.00
82043 291 291 $0.00
90651 772 772 $0.00
99000 2,808 2,771 $0.00
36415 Collection of venous blood by venipuncture 3,699 3,606 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,109 1,106 $0.00
99459 62 62 $0.00
93000 1,158 1,150 $0.00
90698 147 147 $0.00
80048 Basic metabolic panel (calcium, ionized) 1,122 1,117 $0.00
84443 Thyroid stimulating hormone (TSH) 3,180 3,173 $0.00
87086 Culture, bacterial; quantitative colony count, urine 787 777 $0.00
81015 1,066 1,046 $0.00
83036 Hemoglobin; glycosylated (A1C) 3,475 3,474 $0.00
92551 3,964 3,958 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 697 695 $0.00
96127 1,530 1,445 $0.00
85018 1,346 1,340 $0.00
97162 17 14 $0.00
86706 552 551 $0.00
90656 157 157 $0.00
87070 184 183 $0.00
87428 466 464 $0.00
85651 228 228 $0.00
90674 357 357 $0.00
96161 27 27 $0.00
86704 413 412 $0.00
86592 938 934 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,078 1,072 $0.00
90677 329 329 $0.00
90732 47 47 $0.00
83550 346 345 $0.00
82728 334 333 $0.00
X4304 467 202 $0.00
92250 77 77 $0.00
99070 18 18 $0.00
90619 289 289 $0.00
90739 44 44 $0.00
X3908 22 12 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 284 284 $0.00
90744 67 67 $0.00
81001 218 216 $0.00
86803 615 615 $0.00
90697 274 274 $0.00
96150 12 12 $0.00
91303 33 33 $0.00
90680 134 134 $0.00
90696 25 25 $0.00
87340 201 201 $0.00
90716 39 39 $0.00
91301 68 68 $0.00
99402 96 96 $0.00
90792 Psychiatric diagnostic evaluation with medical services 25 25 $0.00
97139 112 78 $0.00
99441 16 16 $0.00
94760 263 251 $0.00
3008F 31 31 $0.00
90694 63 63 $0.00
0031A 33 33 $0.00
87522 Neg quan hep c or qual rna 44 38 $0.00
86140 14 14 $0.00
84153 12 12 $0.00
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 39 38 $0.00
3074F 30 30 $0.00
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 40 40 $0.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 12 12 $0.00
X3924 13 12 $0.00
96156 56 50 $0.00