Clinic
Family Health Centers of San Diego, INC
Family Health Centers of San Diego, INC was paid $26.36M by Medicaid between Jan 2018 and Dec 2024, across 163 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoFAMILY HEALTH CENTERS OF SAN DIEGO, INC
EL CAJON, CA 92020
EL CAJON, CA 92020
33aNPI1104861681assigned 06/18/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$26.36M
24GClaims321,664
24DCodes billed163
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#141 of 826
Median peer was paid$4.05M
This provider vs. median6.5×
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 | 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 | |
| 2024incomplete | 42,838 | $3.93M |
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 | 100% | 143,657 | 115,733 | $26.27M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 3,709 | 3,236 | $19K |
| G0467 | Community health center visit, returning patientFederally 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% | 1,613 | 1,380 | $18K |
| 0134A | <1% | 212 | 212 | $11K | |
| 0013A | <1% | 222 | 203 | $10K | |
| 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% | 26,018 | 24,483 | $7K |
| 0011A | <1% | 103 | 99 | $4K | |
| 0012A | <1% | 63 | 60 | $4K | |
| 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% | 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 | <1% | 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 | <1% | 85 | 82 | $2K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 460 | 356 | $2K |
151 more codes
| 0124A | <1% | 30 | $2K | |
| 98940 | <1% | 210 | $884.06 | |
| 90686 | <1% | 2,206 | $515.00 | |
| 98960 | <1% | 94 | $430.36 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 750 | $134.51 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,950 | $131.14 |
| 90480 | <1% | 12 | $40.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,878 | $39.64 |
| 80053 | Comprehensive metabolic panel | <1% | 4,328 | $27.57 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,571 | $13.36 |
| 99406 | <1% | 425 | $10.00 | |
| 97802 | <1% | 1,293 | $3.57 | |
| 90734 | 0% | 207 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 1,559 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 1,468 | $0.00 |
| 90715 | 0% | 476 | $0.00 | |
| 81003 | 0% | 1,342 | $0.00 | |
| 90670 | 0% | 510 | $0.00 | |
| 81025 | 0% | 728 | $0.00 | |
| 90633 | 0% | 566 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 1,728 | $0.00 |
| 91313 | 0% | 192 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 1,137 | $0.00 |
| 97803 | 0% | 5,012 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 770 | $0.00 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 1,078 | $0.00 |
| 90461 | 0% | 1,061 | $0.00 | |
| 85610 | 0% | 262 | $0.00 | |
| X4110 | 0% | 2,596 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 2,080 | $0.00 |
| 90710 | 0% | 82 | $0.00 | |
| 99173 | 0% | 2,713 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 1,345 | $0.00 |
| 99404 | 0% | 601 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 413 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 1,626 | $0.00 |
| 82570 | 0% | 382 | $0.00 | |
| 80061 | Lipid panel | 0% | 3,445 | $0.00 |
| 96160 | 0% | 1,505 | $0.00 | |
| 90750 | 0% | 396 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 665 | $0.00 |
| 2028F | 0% | 375 | $0.00 | |
| 86480 | 0% | 430 | $0.00 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 890 | $0.00 |
| 81002 | 0% | 106 | $0.00 | |
| 90756 | 0% | 1,500 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 1,086 | $0.00 |
| X3904 | 0% | 2,172 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 720 | $0.00 |
| 59425 | 0% | 81 | $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 | 0% | 804 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 27 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 331 | $0.00 |
| 92553 | 0% | 166 | $0.00 | |
| 82947 | 0% | 24 | $0.00 | |
| 83540 | 0% | 382 | $0.00 | |
| 91322 | 0% | 12 | $0.00 | |
| 85007 | 0% | 13 | $0.00 | |
| 99442 | 0% | 31 | $0.00 | |
| 82465 | 0% | 47 | $0.00 | |
| 83718 | 0% | 47 | $0.00 | |
| 90713 | 0% | 26 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 154 | $0.00 |
| 99401 | 0% | 211 | $0.00 | |
| 90746 | 0% | 37 | $0.00 | |
| 84439 | 0% | 41 | $0.00 | |
| H1003 | Prenatal care, at-risk enhanced service; education | 0% | 138 | $0.00 |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 0% | 58 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 39 | $0.00 |
| 3078F | 0% | 26 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 84460 | 0% | 38 | $0.00 | |
| 80076 | 0% | 37 | $0.00 | |
| 90681 | 0% | 25 | $0.00 | |
| 87210 | 0% | 193 | $0.00 | |
| 99188 | 0% | 18 | $0.00 | |
| 90661 | 0% | 251 | $0.00 | |
| 82274 | 0% | 28 | $0.00 | |
| 84450 | 0% | 38 | $0.00 | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 0% | 20 | $0.00 |
| 83721 | 0% | 14 | $0.00 | |
| 90653 | 0% | 17 | $0.00 | |
| 91312 | 0% | 13 | $0.00 | |
| 90700 | 0% | 14 | $0.00 | |
| 82043 | 0% | 291 | $0.00 | |
| 90651 | 0% | 772 | $0.00 | |
| 99000 | 0% | 2,808 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 3,699 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 1,109 | $0.00 |
| 99459 | 0% | 62 | $0.00 | |
| 93000 | 0% | 1,158 | $0.00 | |
| 90698 | 0% | 147 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 1,122 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 3,180 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 787 | $0.00 |
| 81015 | 0% | 1,066 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 3,475 | $0.00 |
| 92551 | 0% | 3,964 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 697 | $0.00 |
| 96127 | 0% | 1,530 | $0.00 | |
| 85018 | 0% | 1,346 | $0.00 | |
| 97162 | 0% | 17 | $0.00 | |
| 86706 | 0% | 552 | $0.00 | |
| 90656 | 0% | 157 | $0.00 | |
| 87070 | 0% | 184 | $0.00 | |
| 87428 | 0% | 466 | $0.00 | |
| 85651 | 0% | 228 | $0.00 | |
| 90674 | 0% | 357 | $0.00 | |
| 96161 | 0% | 27 | $0.00 | |
| 86704 | 0% | 413 | $0.00 | |
| 86592 | 0% | 938 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 1,078 | $0.00 |
| 90677 | 0% | 329 | $0.00 | |
| 90732 | 0% | 47 | $0.00 | |
| 83550 | 0% | 346 | $0.00 | |
| 82728 | 0% | 334 | $0.00 | |
| X4304 | 0% | 467 | $0.00 | |
| 92250 | 0% | 77 | $0.00 | |
| 99070 | 0% | 18 | $0.00 | |
| 90619 | 0% | 289 | $0.00 | |
| 90739 | 0% | 44 | $0.00 | |
| X3908 | 0% | 22 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 284 | $0.00 |
| 90744 | 0% | 67 | $0.00 | |
| 81001 | 0% | 218 | $0.00 | |
| 86803 | 0% | 615 | $0.00 | |
| 90697 | 0% | 274 | $0.00 | |
| 96150 | 0% | 12 | $0.00 | |
| 91303 | 0% | 33 | $0.00 | |
| 90680 | 0% | 134 | $0.00 | |
| 90696 | 0% | 25 | $0.00 | |
| 87340 | 0% | 201 | $0.00 | |
| 90716 | 0% | 39 | $0.00 | |
| 91301 | 0% | 68 | $0.00 | |
| 99402 | 0% | 96 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 25 | $0.00 |
| 97139 | 0% | 112 | $0.00 | |
| 99441 | 0% | 16 | $0.00 | |
| 94760 | 0% | 263 | $0.00 | |
| 3008F | 0% | 31 | $0.00 | |
| 90694 | 0% | 63 | $0.00 | |
| 0031A | 0% | 33 | $0.00 | |
| 87522 | Neg quan hep c or qual rna | 0% | 44 | $0.00 |
| 86140 | 0% | 14 | $0.00 | |
| 84153 | 0% | 12 | $0.00 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 0% | 39 | $0.00 |
| 3074F | 0% | 30 | $0.00 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 0% | 40 | $0.00 |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | 0% | 12 | $0.00 |
| X3924 | 0% | 13 | $0.00 | |
| 96156 | 0% | 56 | $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.