Medicaid Provider Spending

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

FAMILY HEALTH CENTERS OF SAN DIEGO INC

NPI: 1336525906 · SAN DIEGO, CA 92105 · Federally Qualified Health Center (FQHC) · NPI assigned 08/06/2015

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

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

$8.85M
Total Medicaid Paid
110,694
Total Claims
100,850
Beneficiaries
82
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROMAN, RICARDO (CFO)
NPI Enumeration Date08/06/2015

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 EL CAJON CA $26.36M
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 $8.04M
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 6,401 $776K
2019 8,572 $807K
2020 15,816 $924K
2021 18,531 $1.22M
2022 17,207 $1.37M
2023 26,427 $2.02M
2024 17,740 $1.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 47,450 39,933 $8.83M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,251 11,312 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,317 2,259 $2K
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 66 58 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,163 1,146 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 193 193 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,144 11,237 $956.83
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 897 885 $930.27
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 888 876 $927.97
98960 45 31 $555.88
90834 Psychotherapy, 45 minutes with patient 701 635 $268.64
86592 1,031 1,017 $224.59
81025 617 612 $109.20
87210 322 321 $21.36
81015 609 595 $19.00
84443 Thyroid stimulating hormone (TSH) 1,974 1,968 $14.76
36415 Collection of venous blood by venipuncture 1,834 1,763 $4.50
99173 1,241 1,239 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 914 901 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 564 561 $0.00
80061 Lipid panel 2,399 2,397 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 291 287 $0.00
90661 119 119 $0.00
83540 156 156 $0.00
T1013 Sign language or oral interpretive services, per 15 minutes 381 362 $0.00
97803 615 614 $0.00
90472 Immunization administration, each additional vaccine (list separately) 221 221 $0.00
82947 67 63 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 188 188 $0.00
90461 102 101 $0.00
90756 719 719 $0.00
81003 415 405 $0.00
2028F 197 197 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 75 75 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 208 207 $0.00
90750 14 14 $0.00
96160 169 169 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 14 14 $0.00
82570 84 84 $0.00
86480 184 183 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 54 54 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 72 72 $0.00
99404 27 27 $0.00
90715 24 24 $0.00
90832 Psychotherapy, 30 minutes with patient 34 32 $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 42 42 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14 14 $0.00
92551 622 622 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,644 2,627 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,460 2,436 $0.00
83036 Hemoglobin; glycosylated (A1C) 2,400 2,393 $0.00
99000 1,440 1,413 $0.00
96127 480 470 $0.00
85651 109 109 $0.00
85018 437 434 $0.00
86803 614 612 $0.00
94760 37 34 $0.00
80053 Comprehensive metabolic panel 2,552 2,541 $0.00
90686 444 444 $0.00
81001 46 44 $0.00
82043 84 84 $0.00
80050 General health panel 100 100 $0.00
87086 Culture, bacterial; quantitative colony count, urine 333 330 $0.00
86704 123 123 $0.00
99459 40 40 $0.00
90674 157 157 $0.00
80048 Basic metabolic panel (calcium, ionized) 238 235 $0.00
90656 14 14 $0.00
90739 104 104 $0.00
86706 208 208 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 344 337 $0.00
83550 61 61 $0.00
93000 96 96 $0.00
87428 186 185 $0.00
97802 13 13 $0.00
87070 69 69 $0.00
36416 14 14 $0.00
90651 50 50 $0.00
90677 32 32 $0.00
99402 12 12 $0.00
82728 12 12 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 13 $0.00