Clinic
Family Health Centers of San Diego
Family Health Centers of San Diego was paid $848K by Medicaid between Dec 2018 and Jun 2024, across 89 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 15% of everything it billed.
33Billing provider infoFAMILY HEALTH CENTERS OF SAN DIEGO
SAN DIEGO, CA 92102
SAN DIEGO, CA 92102
33aNPI1134155377assigned 06/22/2006
33bProvider typeClinic/Center
28Total paid$848K
24GClaims138,036
24DCodes billed89
24AFirst – last monthDec 2018 – Jun 2024
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#145 of 504
Median peer was paid$102K
This provider vs. median8.3×
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 | 1,044 | $776.70 | |
| 2019 | 11,386 | $14K | |
| 2020 | 33,399 | $175K | |
| 2021 | 51,319 | $252K | |
| 2022 | 15,279 | $79K | |
| 2023 | 18,610 | $151K | |
| 2024incomplete | 6,999 | $175K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15% | 11,629 | 11,624 | $125K |
| 97803 | 11% | 3,643 | 3,620 | $93K | |
| 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 | 9.1% | 1,223 | 1,202 | $77K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.0% | 19,139 | 17,846 | $76K |
| 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 | 8.1% | 12,681 | 11,951 | $68K |
| V2020 | Frames, purchases | 5.3% | 12,104 | 12,101 | $45K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.9% | 5,240 | 5,240 | $42K |
| 80061 | Lipid panel | 3.7% | 3,059 | 3,040 | $31K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 3.7% | 8,796 | 8,795 | $31K |
| 92015 | Determination of refractive state | 3.6% | 17,493 | 17,488 | $30K |
| 80053 | Comprehensive metabolic panel | 3.3% | 3,489 | 3,456 | $28K |
| 84443 | Thyroid stimulating hormone (TSH) | 1.9% | 1,313 | 1,304 | $16K |
77 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.9% | 261 | $16K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 1.8% | 770 | $15K |
| 86480 | 1.5% | 258 | $13K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.5% | 1,766 | $12K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.4% | 1,977 | $12K |
| G9012 | Other specified case management service not elsewhere classified | 1.3% | 35 | $11K |
| H1003 | Prenatal care, at-risk enhanced service; education | 1.1% | 729 | $10K |
| 96156 | 1.1% | 821 | $9K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 988 | $8K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 132 | $8K |
| 82274 | <1% | 582 | $8K | |
| 92341 | <1% | 1,579 | $8K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 215 | $6K |
| 93922 | <1% | 86 | $6K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 207 | $6K |
| 86803 | <1% | 384 | $5K | |
| 92551 | <1% | 267 | $3K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 58 | $3K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 44 | $3K |
| 99401 | <1% | 214 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,226 | $2K |
| 86592 | <1% | 557 | $2K | |
| 87536 | <1% | 24 | $2K | |
| 99000 | <1% | 1,485 | $1K | |
| 86704 | <1% | 122 | $1K | |
| 86706 | <1% | 125 | $1K | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 6,232 | $1K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 152 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 28 | $980.00 |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 20 | $916.82 |
| 81025 | <1% | 273 | $761.60 | |
| 80055 | <1% | 19 | $680.77 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 43 | $661.22 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 89 | $563.35 |
| 92002 | <1% | 13 | $482.95 | |
| 82570 | <1% | 102 | $441.60 | |
| 82043 | <1% | 88 | $416.56 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 86 | $411.29 |
| 0011A | <1% | 80 | $330.82 | |
| 90756 | <1% | 27 | $320.00 | |
| 84439 | <1% | 45 | $317.24 | |
| 84460 | <1% | 75 | $305.12 | |
| 82951 | <1% | 28 | $303.80 | |
| 81015 | <1% | 124 | $294.26 | |
| 84450 | <1% | 74 | $293.04 | |
| 81003 | <1% | 145 | $260.04 | |
| 81002 | <1% | 79 | $169.85 | |
| 85018 | <1% | 91 | $150.84 | |
| 86140 | <1% | 36 | $149.04 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 36 | $144.00 |
| 83540 | <1% | 25 | $143.00 | |
| 85651 | <1% | 54 | $127.98 | |
| 0031A | <1% | 17 | $120.00 | |
| 87340 | <1% | 12 | $109.44 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,785 | $103.50 |
| 83550 | <1% | 13 | $89.57 | |
| 85610 | <1% | 24 | $82.32 | |
| 87081 | <1% | 12 | $68.16 | |
| 82728 | <1% | 14 | $51.94 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 13 | $34.69 |
| 99173 | <1% | 424 | $31.59 | |
| 96127 | <1% | 99 | $22.18 | |
| 98960 | <1% | 758 | $10.80 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 18 | $8.78 |
| 3078F | 0% | 2,508 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 12 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 13 | $0.00 |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 0% | 29 | $0.00 |
| 3074F | 0% | 2,840 | $0.00 | |
| 3079F | 0% | 304 | $0.00 | |
| 3008F | 0% | 730 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 420 | $0.00 |
| H0001 | Alcohol and/or drug assessment | 0% | 62 | $0.00 |
| 91301 | 0% | 85 | $0.00 | |
| 99402 | 0% | 31 | $0.00 | |
| 99406 | 0% | 14 | $0.00 | |
| 91303 | 0% | 14 | $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.