Clinic
Family Health Centers of San Diego INC
Family Health Centers of San Diego INC was paid $8.85M by Medicaid between Jan 2018 and Dec 2024, across 82 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
SAN DIEGO, CA 92105
SAN DIEGO, CA 92105
33aNPI1336525906assigned 08/06/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$8.85M
24GClaims110,694
24DCodes billed82
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#314 of 826
Median peer was paid$4.05M
This provider vs. median2.2×
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 | 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 | |
| 2024incomplete | 17,740 | $1.73M |
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% | 47,450 | 39,933 | $8.83M |
| 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% | 12,251 | 11,312 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,317 | 2,259 | $2K |
| 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% | 66 | 58 | $2K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 1,163 | 1,146 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 193 | 193 | $1K |
| 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% | 12,144 | 11,237 | $956.83 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 897 | 885 | $930.27 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 888 | 876 | $927.97 |
| 98960 | <1% | 45 | 31 | $555.88 | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 701 | 635 | $268.64 |
| 86592 | <1% | 1,031 | 1,017 | $224.59 |
70 more codes
| 81025 | <1% | 617 | $109.20 | |
| 87210 | <1% | 322 | $21.36 | |
| 81015 | <1% | 609 | $19.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,974 | $14.76 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,834 | $4.50 |
| 99173 | 0% | 1,241 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 914 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 564 | $0.00 |
| 80061 | Lipid panel | 0% | 2,399 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 291 | $0.00 |
| 90661 | 0% | 119 | $0.00 | |
| 83540 | 0% | 156 | $0.00 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 381 | $0.00 |
| 97803 | 0% | 615 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 221 | $0.00 |
| 82947 | 0% | 67 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 188 | $0.00 |
| 90461 | 0% | 102 | $0.00 | |
| 90756 | 0% | 719 | $0.00 | |
| 81003 | 0% | 415 | $0.00 | |
| 2028F | 0% | 197 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 75 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 208 | $0.00 |
| 90750 | 0% | 14 | $0.00 | |
| 96160 | 0% | 169 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 14 | $0.00 |
| 82570 | 0% | 84 | $0.00 | |
| 86480 | 0% | 184 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 54 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 72 | $0.00 |
| 99404 | 0% | 27 | $0.00 | |
| 90715 | 0% | 24 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 34 | $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% | 42 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 14 | $0.00 |
| 92551 | 0% | 622 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 2,644 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 2,460 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 2,400 | $0.00 |
| 99000 | 0% | 1,440 | $0.00 | |
| 96127 | 0% | 480 | $0.00 | |
| 85651 | 0% | 109 | $0.00 | |
| 85018 | 0% | 437 | $0.00 | |
| 86803 | 0% | 614 | $0.00 | |
| 94760 | 0% | 37 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 2,552 | $0.00 |
| 90686 | 0% | 444 | $0.00 | |
| 81001 | 0% | 46 | $0.00 | |
| 82043 | 0% | 84 | $0.00 | |
| 80050 | General health panel | 0% | 100 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 333 | $0.00 |
| 86704 | 0% | 123 | $0.00 | |
| 99459 | 0% | 40 | $0.00 | |
| 90674 | 0% | 157 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 238 | $0.00 |
| 90656 | 0% | 14 | $0.00 | |
| 90739 | 0% | 104 | $0.00 | |
| 86706 | 0% | 208 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 344 | $0.00 |
| 83550 | 0% | 61 | $0.00 | |
| 93000 | 0% | 96 | $0.00 | |
| 87428 | 0% | 186 | $0.00 | |
| 97802 | 0% | 13 | $0.00 | |
| 87070 | 0% | 69 | $0.00 | |
| 36416 | 0% | 14 | $0.00 | |
| 90651 | 0% | 50 | $0.00 | |
| 90677 | 0% | 32 | $0.00 | |
| 99402 | 0% | 12 | $0.00 | |
| 82728 | 0% | 12 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 13 | $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.