Medicaid Provider Spending

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

FAMILY HEALTH CENTERS OF SAN DIEGO, INC

NPI: 1427282466 · LEMON GROVE, CA 91945 · Federally Qualified Health Center (FQHC) · NPI assigned 05/05/2009

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

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

$20.82M
Total Medicaid Paid
336,151
Total Claims
305,466
Beneficiaries
159
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialROMAN, RICARDO (CFO)
NPI Enumeration Date05/05/2009

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 SAN DIEGO CA $19.92M
FAMILY HEALTH CENTERS OF SAN DIEGO INC SAN DIEGO CA $8.85M
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 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
2024 40,766 $2.65M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 148,735 123,752 $20.78M
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 468 414 $11K
96156 429 407 $9K
0134A 148 148 $8K
90834 Psychotherapy, 45 minutes with patient 1,092 988 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31,058 28,694 $3K
0013A 43 43 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 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 100 95 $2K
0012A 17 16 $1K
59425 15 13 $907.20
90792 Psychiatric diagnostic evaluation with medical services 12 12 $877.66
97803 6,666 6,623 $517.99
90480 95 95 $480.00
90670 1,134 1,134 $392.08
G9920 Screening performed and negative 139 139 $362.50
90756 963 963 $320.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,102 6,080 $75.52
80061 Lipid panel 2,999 2,998 $22.96
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,619 3,606 $20.18
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,764 1,763 $20.06
80053 Comprehensive metabolic panel 3,388 3,383 $18.47
83036 Hemoglobin; glycosylated (A1C) 3,206 3,204 $16.90
81002 1,457 1,135 $10.75
90460 Immunization administration through 18 years of age via any route, first or only component 2,772 2,768 $4.42
81003 1,134 1,123 $1.94
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,065 2,056 $0.00
36415 Collection of venous blood by venipuncture 3,338 3,210 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 197 196 $0.00
93000 275 275 $0.00
Z6204 709 688 $0.00
90698 653 653 $0.00
90680 515 515 $0.00
85651 162 162 $0.00
87428 647 642 $0.00
92551 4,952 4,941 $0.00
86706 522 522 $0.00
H0001 Alcohol and/or drug assessment 66 31 $0.00
99402 292 289 $0.00
99000 2,994 2,948 $0.00
36416 740 723 $0.00
90651 1,194 1,193 $0.00
82728 299 298 $0.00
90686 2,383 2,383 $0.00
85018 3,807 3,794 $0.00
86704 455 455 $0.00
96127 2,004 1,969 $0.00
99459 222 222 $0.00
81015 1,379 1,357 $0.00
87086 Culture, bacterial; quantitative colony count, urine 1,205 1,182 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 740 725 $0.00
94760 382 369 $0.00
Z6410 190 190 $0.00
97802 2,043 2,042 $0.00
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 151 149 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 803 797 $0.00
90697 323 323 $0.00
84443 Thyroid stimulating hormone (TSH) 2,820 2,818 $0.00
Z1034 1,436 1,105 $0.00
90688 173 173 $0.00
86592 1,692 1,690 $0.00
80048 Basic metabolic panel (calcium, ionized) 390 383 $0.00
82043 284 283 $0.00
90619 491 491 $0.00
Z6406 165 157 $0.00
90744 386 386 $0.00
86803 523 523 $0.00
83550 190 190 $0.00
87070 356 354 $0.00
81001 169 161 $0.00
90694 26 26 $0.00
90677 267 267 $0.00
90716 52 52 $0.00
86580 63 63 $0.00
90674 215 215 $0.00
99385 136 136 $0.00
99406 337 326 $0.00
80050 General health panel 59 59 $0.00
Z6402 26 26 $0.00
90696 117 117 $0.00
99441 12 12 $0.00
91303 13 13 $0.00
87536 13 13 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 158 156 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12 12 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 32 30 $0.00
90739 62 62 $0.00
90620 12 12 $0.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 33 31 $0.00
87340 36 36 $0.00
3008F 69 69 $0.00
99383 13 13 $0.00
0031A 13 13 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 55 55 $0.00
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 71 69 $0.00
99381 12 12 $0.00
86769 12 12 $0.00
91301 12 12 $0.00
3074F 66 66 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 564 562 $0.00
87210 1,143 1,130 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,067 2,057 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,609 1,592 $0.00
90734 299 299 $0.00
Z6300 497 496 $0.00
98960 387 350 $0.00
96160 1,918 1,916 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,429 1,404 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,568 1,567 $0.00
90785 26 26 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,342 2,340 $0.00
90472 Immunization administration, each additional vaccine (list separately) 1,331 1,329 $0.00
2028F 632 629 $0.00
81025 2,593 2,534 $0.00
90715 725 725 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,630 2,630 $0.00
90710 401 401 $0.00
90633 957 914 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,715 8,342 $0.00
99401 588 585 $0.00
99173 4,236 4,233 $0.00
91321 34 34 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 774 773 $0.00
82947 1,584 1,501 $0.00
Z6400 143 128 $0.00
90832 Psychotherapy, 30 minutes with patient 362 343 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,142 1,141 $0.00
83540 220 220 $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 978 972 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 199 199 $0.00
90461 1,710 1,709 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,401 2,370 $0.00
99404 872 868 $0.00
90700 147 147 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 42 42 $0.00
Z6308 220 205 $0.00
82570 324 323 $0.00
90791 Psychiatric diagnostic evaluation 328 328 $0.00
T1013 Sign language or oral interpretive services, per 15 minutes 608 576 $0.00
86480 878 876 $0.00
Z6304 1,062 1,040 $0.00
Z6200 96 96 $0.00
90750 110 110 $0.00
92553 216 216 $0.00
91313 96 96 $0.00
82274 25 25 $0.00
90648 64 64 $0.00
91322 22 22 $0.00
85610 25 24 $0.00
90707 40 40 $0.00
3078F 64 64 $0.00
69209 13 12 $0.00
84460 13 13 $0.00
84450 14 14 $0.00
90685 14 14 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 52 49 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 14 13 $0.00
99201 21 21 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 122 120 $0.00