Clinic
Family Health Centers of San Diego, INC
Family Health Centers of San Diego, INC was paid $23.70M by Medicaid between Jan 2018 and Dec 2024, across 139 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoFAMILY HEALTH CENTERS OF SAN DIEGO, INC
SAN DIEGO, CA 92109
SAN DIEGO, CA 92109
33aNPI1386689701assigned 06/19/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$23.70M
24GClaims299,768
24DCodes billed139
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#155 of 826
Median peer was paid$4.05M
This provider vs. median5.9×
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 | 19,279 | $2.73M | |
| 2019 | 21,616 | $2.24M | |
| 2020 | 50,325 | $3.17M | |
| 2021 | 56,262 | $3.58M | |
| 2022 | 48,814 | $3.37M | |
| 2023 | 58,378 | $4.10M | |
| 2024incomplete | 45,094 | $4.52M |
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 | 99% | 130,288 | 101,724 | $23.56M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 6,500 | 5,431 | $75K |
| 0013A | <1% | 209 | 205 | $12K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 1,758 | 1,295 | $8K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 325 | 164 | $6K |
| 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% | 33,041 | 29,485 | $5K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 174 | 105 | $4K |
| 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% | 23,302 | 21,383 | $4K |
| 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% | 141 | 128 | $4K |
| 97803 | <1% | 1,513 | 1,504 | $3K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 148 | 131 | $2K |
| 0011A | <1% | 55 | 54 | $2K |
127 more codes
| 80053 | Comprehensive metabolic panel | <1% | 6,094 | $1K |
| 0012A | <1% | 25 | $1K | |
| 80061 | Lipid panel | <1% | 5,337 | $1K |
| 98960 | <1% | 736 | $1K | |
| 98940 | <1% | 405 | $1K | |
| 90674 | <1% | 360 | $1K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 4,365 | $994.68 |
| 93000 | <1% | 809 | $936.25 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,207 | $796.55 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,048 | $786.56 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 5,042 | $682.83 |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,439 | $621.00 |
| 90686 | <1% | 802 | $451.00 | |
| 97010 | <1% | 34 | $436.56 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 3,023 | $432.04 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 3,021 | $430.64 |
| 90756 | <1% | 983 | $300.00 | |
| 90688 | <1% | 63 | $240.00 | |
| 81025 | <1% | 2,757 | $143.72 | |
| 99401 | 0% | 309 | $0.00 | |
| 81003 | 0% | 1,522 | $0.00 | |
| 90715 | 0% | 527 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 2,193 | $0.00 |
| 85610 | 0% | 95 | $0.00 | |
| 69209 | 0% | 12 | $0.00 | |
| 87210 | 0% | 1,787 | $0.00 | |
| 90461 | 0% | 292 | $0.00 | |
| 90750 | 0% | 487 | $0.00 | |
| 81002 | 0% | 770 | $0.00 | |
| 99173 | 0% | 892 | $0.00 | |
| 84439 | 0% | 136 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 766 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 917 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 70 | $0.00 |
| 90670 | 0% | 136 | $0.00 | |
| 82570 | 0% | 555 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 2,038 | $0.00 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 533 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 372 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 690 | $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% | 427 | $0.00 |
| 90746 | 0% | 136 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 7,249 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 80 | $0.00 |
| Z6300 | 0% | 278 | $0.00 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 0% | 30 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 461 | $0.00 |
| 80354 | 0% | 289 | $0.00 | |
| 90661 | 0% | 157 | $0.00 | |
| 83540 | 0% | 307 | $0.00 | |
| Z6302 | 0% | 13 | $0.00 | |
| Z6400 | 0% | 280 | $0.00 | |
| 96160 | 0% | 416 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 1,375 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 107 | $0.00 |
| Z6304 | 0% | 478 | $0.00 | |
| 83721 | 0% | 15 | $0.00 | |
| Z6308 | 0% | 30 | $0.00 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 347 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 55 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 87 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 149 | $0.00 |
| 86480 | 0% | 772 | $0.00 | |
| 99442 | 0% | 65 | $0.00 | |
| 99404 | 0% | 186 | $0.00 | |
| 84450 | 0% | 90 | $0.00 | |
| 84460 | 0% | 90 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 102 | $0.00 |
| 90710 | 0% | 14 | $0.00 | |
| Z6200 | 0% | 39 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 106 | $0.00 |
| 2028F | 0% | 28 | $0.00 | |
| 90734 | 0% | 13 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 12 | $0.00 |
| 90653 | 0% | 16 | $0.00 | |
| A4267 | Contraceptive supply, condom, male, each | 0% | 12 | $0.00 |
| 86704 | 0% | 1,276 | $0.00 | |
| 99000 | 0% | 2,725 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 716 | $0.00 |
| 92551 | 0% | 990 | $0.00 | |
| 96127 | 0% | 1,829 | $0.00 | |
| 86803 | 0% | 1,652 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 552 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 2,842 | $0.00 |
| 86706 | 0% | 1,489 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 270 | $0.00 |
| Z6410 | 0% | 249 | $0.00 | |
| 85018 | 0% | 270 | $0.00 | |
| 86592 | 0% | 2,311 | $0.00 | |
| 81015 | 0% | 1,327 | $0.00 | |
| Z6204 | 0% | 176 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 928 | $0.00 |
| 86140 | 0% | 119 | $0.00 | |
| Z6402 | 0% | 123 | $0.00 | |
| 85651 | 0% | 390 | $0.00 | |
| 97802 | 0% | 339 | $0.00 | |
| Z1034 | 0% | 605 | $0.00 | |
| 90739 | 0% | 122 | $0.00 | |
| 82043 | 0% | 589 | $0.00 | |
| 87428 | 0% | 267 | $0.00 | |
| 83550 | 0% | 202 | $0.00 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 0% | 12 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 1,314 | $0.00 |
| 99406 | 0% | 154 | $0.00 | |
| 81001 | 0% | 156 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 463 | $0.00 |
| 91301 | 0% | 35 | $0.00 | |
| 99385 | 0% | 164 | $0.00 | |
| 99459 | 0% | 389 | $0.00 | |
| 3008F | 0% | 12 | $0.00 | |
| 99441 | 0% | 48 | $0.00 | |
| 99402 | 0% | 63 | $0.00 | |
| 82728 | 0% | 110 | $0.00 | |
| 87070 | 0% | 126 | $0.00 | |
| 87340 | 0% | 327 | $0.00 | |
| 99386 | 0% | 16 | $0.00 | |
| 90677 | 0% | 80 | $0.00 | |
| 84153 | 0% | 52 | $0.00 | |
| 80050 | General health panel | 0% | 52 | $0.00 |
| 90651 | 0% | 54 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 154 | $0.00 |
| 83690 | 0% | 25 | $0.00 | |
| 90732 | 0% | 83 | $0.00 | |
| 90694 | 0% | 40 | $0.00 | |
| 90698 | 0% | 12 | $0.00 | |
| Z6406 | 0% | 42 | $0.00 | |
| 87081 | 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.