NPI: 1326225632 · SAN DIEGO, CA 92113 · Federally Qualified Health Center (FQHC) · NPI assigned 01/29/2008
Authorized official MATTSON, KEVIN controls 16+ related entities in our dataset. Read more
| Authorized Official | MATTSON, KEVIN (PRESIDENT/CEO) |
| NPI Enumeration Date | 01/29/2008 |
Other providers sharing the same authorized official: MATTSON, KEVIN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 36,504 | $6.32M |
| 2019 | 42,429 | $6.94M |
| 2020 | 51,295 | $5.98M |
| 2021 | 94,144 | $6.15M |
| 2022 | 73,672 | $4.29M |
| 2023 | 51,963 | $3.69M |
| 2024 | 37,650 | $3.88M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 132,305 | 106,905 | $23.30M |
| 00003 | Internal/system code - not a standard HCPCS code | 54,863 | 26,297 | $12.98M |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 3,272 | 2,034 | $645K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29,202 | 26,297 | $74K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 25,725 | 23,165 | $55K |
| 0064A | 650 | 432 | $36K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 14,542 | 12,957 | $22K |
| 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 | 571 | 538 | $18K |
| 0001A | 344 | 177 | $18K | |
| 0054A | 278 | 201 | $16K | |
| 0124A | 217 | 215 | $14K | |
| 0002A | 256 | 135 | $14K | |
| 0134A | 190 | 184 | $12K | |
| 0011A | 213 | 113 | $11K | |
| 0004A | 212 | 114 | $11K | |
| 0012A | 187 | 102 | $10K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 4,440 | 2,994 | $4K |
| 98940 | 4,433 | 3,017 | $4K | |
| 90791 | Psychiatric diagnostic evaluation | 215 | 183 | $3K |
| 90832 | Psychotherapy, 30 minutes with patient | 877 | 694 | $2K |
| 90686 | 1,814 | 1,765 | $2K | |
| 0071A | 29 | 16 | $2K | |
| 0072A | 24 | 12 | $1K | |
| 99000 | 5,843 | 5,405 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2,818 | 2,683 | $1K |
| 90750 | 161 | 155 | $1K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 71 | 63 | $1K |
| G9920 | Screening performed and negative | 25 | 25 | $719.20 |
| 90651 | 107 | 104 | $698.75 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 1,746 | 1,690 | $516.00 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 79 | 74 | $413.40 |
| 96156 | 538 | 534 | $371.70 | |
| 90679 | 12 | 12 | $280.00 | |
| 90715 | 125 | 118 | $270.01 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 246 | 240 | $239.60 |
| 90687 | 41 | 41 | $167.12 | |
| 99215 | Prolong outpt/office vis | 51 | 46 | $160.16 |
| 90662 | 50 | 49 | $157.49 | |
| 92551 | 1,111 | 1,099 | $120.88 | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 72 | 70 | $114.40 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 61 | 60 | $102.22 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 54 | 53 | $92.61 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 272 | 270 | $87.70 |
| 90688 | 371 | 364 | $86.15 | |
| 90834 | Psychotherapy, 45 minutes with patient | 13 | 12 | $66.49 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 220 | 220 | $65.96 |
| 85018 | 1,469 | 1,441 | $40.44 | |
| 99173 | 1,177 | 1,166 | $37.39 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 144 | 143 | $33.96 |
| 82947 | 690 | 674 | $32.78 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 15 | 14 | $18.75 |
| S9452 | Nutrition classes, non-physician provider, per session | 10,758 | 10,426 | $15.15 |
| 81002 | 419 | 371 | $13.56 | |
| 86580 | 93 | 90 | $10.08 | |
| 88164 | 15 | 14 | $9.65 | |
| 81025 | 29 | 28 | $8.40 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 20,259 | 17,788 | $6.86 |
| 36415 | Collection of venous blood by venipuncture | 7,692 | 7,566 | $2.70 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 157 | 148 | $0.09 |
| S9451 | Exercise classes, non-physician provider, per session | 10,397 | 10,101 | $0.04 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 1,729 | 1,568 | $0.00 |
| 3008F | 11,492 | 11,123 | $0.00 | |
| 36416 | 1,017 | 1,011 | $0.00 | |
| 1000F | 350 | 339 | $0.00 | |
| 1125F | 500 | 487 | $0.00 | |
| 3074F | 465 | 454 | $0.00 | |
| 3079F | 47 | 47 | $0.00 | |
| 1126F | 187 | 183 | $0.00 | |
| 90656 | 94 | 94 | $0.00 | |
| 3075F | 90 | 89 | $0.00 | |
| Z6406 | 55 | 41 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 31 | 31 | $0.00 |
| 1220F | 43 | 41 | $0.00 | |
| 90674 | 19 | 19 | $0.00 | |
| Z1034 | 40 | 32 | $0.00 | |
| 3044F | 14 | 14 | $0.00 | |
| 1159F | 26,632 | 23,864 | $0.00 | |
| 96160 | 337 | 337 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1,279 | 1,269 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 64 | 64 | $0.00 |
| 3078F | 569 | 556 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 15 | 14 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 113 | 113 | $0.00 |
| 91322 | 13 | 13 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 25 | 25 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 26 | 26 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 17 | 16 | $0.00 |
| 90734 | 41 | 41 | $0.00 | |
| 1160F | 23 | 23 | $0.00 | |
| 3077F | 26 | 24 | $0.00 | |
| 90670 | 12 | 12 | $0.00 | |
| Z6400 | 32 | 27 | $0.00 |