Clinic
Family Health Centers of San Diego, INC
Family Health Centers of San Diego, INC was paid $20.82M by Medicaid between Jan 2018 and Nov 2024, across 159 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
LEMON GROVE, CA 91945
LEMON GROVE, CA 91945
33aNPI1427282466assigned 05/05/2009
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$20.82M
24GClaims336,151
24DCodes billed159
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#175 of 826
Median peer was paid$4.05M
This provider vs. median5.1×
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 | 23,426 | $2.60M | |
| 2019 | 35,516 | $2.50M | |
| 2020 | 52,705 | $2.96M | |
| 2021 | 54,926 | $2.94M | |
| 2022 | 55,371 | $3.10M | |
| 2023 | 73,441 | $4.08M | |
| 2024incomplete | 40,766 | $2.65M |
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% | 148,735 | 123,752 | $20.78M |
| 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% | 468 | 414 | $11K |
| 96156 | <1% | 429 | 407 | $9K | |
| 0134A | <1% | 148 | 148 | $8K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,092 | 988 | $7K |
| 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% | 31,058 | 28,694 | $3K |
| 0013A | <1% | 43 | 43 | $3K | |
| 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% | 20,104 | 19,003 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 100 | 95 | $2K |
| 0012A | <1% | 17 | 16 | $1K | |
| 59425 | <1% | 15 | 13 | $907.20 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 12 | 12 | $877.66 |
147 more codes
| 97803 | <1% | 6,666 | $517.99 | |
| 90480 | <1% | 95 | $480.00 | |
| 90670 | <1% | 1,134 | $392.08 | |
| G9920 | Screening performed and negative | <1% | 139 | $362.50 |
| 90756 | <1% | 963 | $320.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,102 | $75.52 |
| 80061 | Lipid panel | <1% | 2,999 | $22.96 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,619 | $20.18 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 1,764 | $20.06 |
| 80053 | Comprehensive metabolic panel | <1% | 3,388 | $18.47 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,206 | $16.90 |
| 81002 | <1% | 1,457 | $10.75 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,772 | $4.42 |
| 81003 | <1% | 1,134 | $1.94 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 2,065 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 3,338 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 197 | $0.00 |
| 93000 | 0% | 275 | $0.00 | |
| Z6204 | 0% | 709 | $0.00 | |
| 90698 | 0% | 653 | $0.00 | |
| 90680 | 0% | 515 | $0.00 | |
| 85651 | 0% | 162 | $0.00 | |
| 87428 | 0% | 647 | $0.00 | |
| 92551 | 0% | 4,952 | $0.00 | |
| 86706 | 0% | 522 | $0.00 | |
| H0001 | Alcohol and/or drug assessment | 0% | 66 | $0.00 |
| 99402 | 0% | 292 | $0.00 | |
| 99000 | 0% | 2,994 | $0.00 | |
| 36416 | 0% | 740 | $0.00 | |
| 90651 | 0% | 1,194 | $0.00 | |
| 82728 | 0% | 299 | $0.00 | |
| 90686 | 0% | 2,383 | $0.00 | |
| 85018 | 0% | 3,807 | $0.00 | |
| 86704 | 0% | 455 | $0.00 | |
| 96127 | 0% | 2,004 | $0.00 | |
| 99459 | 0% | 222 | $0.00 | |
| 81015 | 0% | 1,379 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 1,205 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 740 | $0.00 |
| 94760 | 0% | 382 | $0.00 | |
| Z6410 | 0% | 190 | $0.00 | |
| 97802 | 0% | 2,043 | $0.00 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 0% | 151 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 803 | $0.00 |
| 90697 | 0% | 323 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 2,820 | $0.00 |
| Z1034 | 0% | 1,436 | $0.00 | |
| 90688 | 0% | 173 | $0.00 | |
| 86592 | 0% | 1,692 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 390 | $0.00 |
| 82043 | 0% | 284 | $0.00 | |
| 90619 | 0% | 491 | $0.00 | |
| Z6406 | 0% | 165 | $0.00 | |
| 90744 | 0% | 386 | $0.00 | |
| 86803 | 0% | 523 | $0.00 | |
| 83550 | 0% | 190 | $0.00 | |
| 87070 | 0% | 356 | $0.00 | |
| 81001 | 0% | 169 | $0.00 | |
| 90694 | 0% | 26 | $0.00 | |
| 90677 | 0% | 267 | $0.00 | |
| 90716 | 0% | 52 | $0.00 | |
| 86580 | 0% | 63 | $0.00 | |
| 90674 | 0% | 215 | $0.00 | |
| 99385 | 0% | 136 | $0.00 | |
| 99406 | 0% | 337 | $0.00 | |
| 80050 | General health panel | 0% | 59 | $0.00 |
| Z6402 | 0% | 26 | $0.00 | |
| 90696 | 0% | 117 | $0.00 | |
| 99441 | 0% | 12 | $0.00 | |
| 91303 | 0% | 13 | $0.00 | |
| 87536 | 0% | 13 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 158 | $0.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 12 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 32 | $0.00 |
| 90739 | 0% | 62 | $0.00 | |
| 90620 | 0% | 12 | $0.00 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | 0% | 33 | $0.00 |
| 87340 | 0% | 36 | $0.00 | |
| 3008F | 0% | 69 | $0.00 | |
| 99383 | 0% | 13 | $0.00 | |
| 0031A | 0% | 13 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 55 | $0.00 |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 0% | 71 | $0.00 |
| 99381 | 0% | 12 | $0.00 | |
| 86769 | 0% | 12 | $0.00 | |
| 91301 | 0% | 12 | $0.00 | |
| 3074F | 0% | 66 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 564 | $0.00 |
| 87210 | 0% | 1,143 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 2,067 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 1,609 | $0.00 |
| 90734 | 0% | 299 | $0.00 | |
| Z6300 | 0% | 497 | $0.00 | |
| 98960 | 0% | 387 | $0.00 | |
| 96160 | 0% | 1,918 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,429 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 1,568 | $0.00 |
| 90785 | 0% | 26 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 2,342 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 1,331 | $0.00 |
| 2028F | 0% | 632 | $0.00 | |
| 81025 | 0% | 2,593 | $0.00 | |
| 90715 | 0% | 725 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 2,630 | $0.00 |
| 90710 | 0% | 401 | $0.00 | |
| 90633 | 0% | 957 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 8,715 | $0.00 |
| 99401 | 0% | 588 | $0.00 | |
| 99173 | 0% | 4,236 | $0.00 | |
| 91321 | 0% | 34 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 774 | $0.00 |
| 82947 | 0% | 1,584 | $0.00 | |
| Z6400 | 0% | 143 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 362 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 1,142 | $0.00 |
| 83540 | 0% | 220 | $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% | 978 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 199 | $0.00 |
| 90461 | 0% | 1,710 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 2,401 | $0.00 |
| 99404 | 0% | 872 | $0.00 | |
| 90700 | 0% | 147 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 42 | $0.00 |
| Z6308 | 0% | 220 | $0.00 | |
| 82570 | 0% | 324 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 328 | $0.00 |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 608 | $0.00 |
| 86480 | 0% | 878 | $0.00 | |
| Z6304 | 0% | 1,062 | $0.00 | |
| Z6200 | 0% | 96 | $0.00 | |
| 90750 | 0% | 110 | $0.00 | |
| 92553 | 0% | 216 | $0.00 | |
| 91313 | 0% | 96 | $0.00 | |
| 82274 | 0% | 25 | $0.00 | |
| 90648 | 0% | 64 | $0.00 | |
| 91322 | 0% | 22 | $0.00 | |
| 85610 | 0% | 25 | $0.00 | |
| 90707 | 0% | 40 | $0.00 | |
| 3078F | 0% | 64 | $0.00 | |
| 69209 | 0% | 13 | $0.00 | |
| 84460 | 0% | 13 | $0.00 | |
| 84450 | 0% | 14 | $0.00 | |
| 90685 | 0% | 14 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 52 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 14 | $0.00 |
| 99201 | 0% | 21 | $0.00 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 0% | 122 | $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.