Agency
Family Health Centers of San Diego, INC
Family Health Centers of San Diego, INC was paid $1.92M by Medicaid between Jan 2020 and Nov 2024, across 66 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoFAMILY HEALTH CENTERS OF SAN DIEGO, INC
SAN DIEGO, CA 92115
SAN DIEGO, CA 92115
33aNPI1477029205assigned 10/19/2018
33bProvider typePACE Provider Organization
28Total paid$1.92M
24GClaims57,204
24DCodes billed66
24AFirst – last monthJan 2020 – Nov 2024
Compared with peers
Next to other PACE Provider Organization providers in California
Rank by total paid#6 of 17
Median peer was paid$240.00
This provider vs. median7,983×
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 | |
|---|---|---|---|
| 2020 | 1,891 | $498.24 | |
| 2021 | 8,181 | $181K | |
| 2022 | 10,513 | $421K | |
| 2023 | 18,808 | $660K | |
| 2024incomplete | 17,811 | $654K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 29% | 4,663 | 3,923 | $560K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 19% | 10,848 | 4,016 | $369K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 8.6% | 1,237 | 1,234 | $166K |
| 97168 | 6.7% | 1,693 | 1,645 | $128K | |
| 97164 | 5.8% | 1,637 | 1,595 | $111K | |
| 96156 | 5.0% | 1,435 | 1,434 | $95K | |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 4.9% | 4,840 | 2,931 | $93K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.9% | 1,126 | 913 | $93K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.9% | 3,056 | 2,353 | $74K |
| 97803 | 2.3% | 1,509 | 1,461 | $45K | |
| 97535 | Self-care/home management training, each 15 minutes | 1.8% | 777 | 501 | $34K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.7% | 965 | 536 | $33K |
54 more codes
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1.6% | 841 | $30K |
| 97165 | <1% | 164 | $13K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 488 | $12K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,113 | $12K |
| 99509 | Home visit for assistance with activities of daily living and personal care | <1% | 1,343 | $11K |
| G0176 | Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) | <1% | 3,372 | $6K |
| 80053 | Comprehensive metabolic panel | <1% | 538 | $4K |
| 97802 | <1% | 107 | $3K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 505 | $3K |
| 90694 | <1% | 102 | $3K | |
| 97162 | <1% | 164 | $3K | |
| 96158 | <1% | 32 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 296 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 249 | $2K |
| 97166 | <1% | 72 | $2K | |
| 91322 | <1% | 12 | $1K | |
| 80061 | Lipid panel | <1% | 104 | $991.13 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 61 | $575.50 |
| 83921 | <1% | 37 | $524.79 | |
| 99401 | <1% | 62 | $500.00 | |
| 82747 | <1% | 26 | $454.35 | |
| 90756 | <1% | 19 | $380.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 39 | $333.28 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 15 | $219.60 |
| 84550 | <1% | 39 | $117.52 | |
| A9277 | Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system | <1% | 309 | $50.00 |
| 3078F | 0% | 3,807 | $0.00 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 675 | $0.00 |
| 98960 | 0% | 1,415 | $0.00 | |
| 3077F | 0% | 503 | $0.00 | |
| S9122 | Home health aide or certified nurse assistant, providing care in the home; per hour | 0% | 82 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 30 | $0.00 |
| 97161 | 0% | 52 | $0.00 | |
| 0013A | 0% | 97 | $0.00 | |
| 2028F | 0% | 18 | $0.00 | |
| 90679 | 0% | 28 | $0.00 | |
| 97533 | 0% | 70 | $0.00 | |
| 3075F | 0% | 292 | $0.00 | |
| 99000 | 0% | 892 | $0.00 | |
| 3074F | 0% | 2,252 | $0.00 | |
| 3079F | 0% | 191 | $0.00 | |
| 97010 | 0% | 717 | $0.00 | |
| G9012 | Other specified case management service not elsewhere classified | 0% | 713 | $0.00 |
| A9300 | Exercise equipment | 0% | 17 | $0.00 |
| 82607 | 0% | 16 | $0.00 | |
| G0155 | Services of clinical social worker in home health or hospice settings, each 15 minutes | 0% | 49 | $0.00 |
| 91301 | 0% | 225 | $0.00 | |
| 0022A | 0% | 25 | $0.00 | |
| 0012A | 0% | 57 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 14 | $0.00 |
| 81015 | 0% | 13 | $0.00 | |
| 0011A | 0% | 33 | $0.00 | |
| 3044F | 0% | 14 | $0.00 | |
| 90480 | 0% | 12 | $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 (CHIEF FINANCIAL OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.