Medicaid Provider Spending

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

FAMILY HEALTH CENTERS OF SAN DIEGO, INC

NPI: 1477953933 · SAN DIEGO, CA 92115 · Federally Qualified Health Center (FQHC) · NPI assigned 09/02/2014

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

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

$21.45M
Total Medicaid Paid
192,485
Total Claims
167,737
Beneficiaries
141
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROMAN, RICARDO (CFO)
NPI Enumeration Date09/02/2014

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 LEMON GROVE CA $20.82M
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 4,542 $593K
2019 5,615 $593K
2020 12,420 $1.14M
2021 18,351 $1.64M
2022 13,503 $1.40M
2023 15,637 $1.80M
2024 122,417 $14.29M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 81,998 65,027 $21.38M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,661 20,802 $23K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,053 753 $13K
98940 1,281 837 $6K
90834 Psychotherapy, 45 minutes with patient 1,144 916 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,117 4,913 $3K
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 85 75 $3K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 197 123 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 630 576 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,552 16,336 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 644 617 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 651 627 $1K
90832 Psychotherapy, 30 minutes with patient 844 745 $1K
97161 27 27 $940.68
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 609 609 $660.72
86592 552 496 $398.00
98960 21 18 $247.46
G9920 Screening performed and negative 40 40 $145.00
81025 1,527 1,504 $140.00
81015 255 245 $17.78
99000 1,877 1,839 $7.26
81003 667 656 $6.77
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,219 1,216 $6.68
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,670 5,625 $0.00
Z6204 67 66 $0.00
87428 99 98 $0.00
96127 808 766 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 100 100 $0.00
86803 137 137 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 245 242 $0.00
93000 297 296 $0.00
X3906 117 88 $0.00
83036 Hemoglobin; glycosylated (A1C) 1,488 1,487 $0.00
Z1034 1,926 1,616 $0.00
36415 Collection of venous blood by venipuncture 1,736 1,698 $0.00
92551 1,818 1,816 $0.00
99385 72 72 $0.00
90619 359 359 $0.00
87086 Culture, bacterial; quantitative colony count, urine 101 100 $0.00
90686 500 500 $0.00
90677 675 675 $0.00
80053 Comprehensive metabolic panel 1,648 1,645 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 145 145 $0.00
58301 12 12 $0.00
86706 98 98 $0.00
85018 504 503 $0.00
90656 410 410 $0.00
X3908 524 353 $0.00
99381 54 53 $0.00
84443 Thyroid stimulating hormone (TSH) 1,311 1,308 $0.00
90739 466 466 $0.00
97802 615 614 $0.00
99459 452 451 $0.00
90651 567 566 $0.00
Z1032 52 52 $0.00
90697 403 403 $0.00
90744 43 43 $0.00
57454 30 30 $0.00
86704 78 78 $0.00
X3924 1,872 1,490 $0.00
90381 34 34 $0.00
90674 372 371 $0.00
90716 146 146 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 74 74 $0.00
90696 85 85 $0.00
99384 57 57 $0.00
94760 106 101 $0.00
90480 48 48 $0.00
99402 17 16 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 159 159 $0.00
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 12 12 $0.00
80048 Basic metabolic panel (calcium, ionized) 14 14 $0.00
90792 Psychiatric diagnostic evaluation with medical services 85 85 $0.00
87070 15 15 $0.00
87340 29 29 $0.00
Z6402 13 13 $0.00
58300 19 19 $0.00
82728 24 24 $0.00
96161 64 64 $0.00
99070 81 80 $0.00
99383 39 39 $0.00
A9300 Exercise equipment 16 13 $0.00
Z6406 13 13 $0.00
Z6410 13 13 $0.00
Z6400 589 525 $0.00
96160 1,456 1,455 $0.00
90681 230 230 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 281 280 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 657 657 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,341 1,323 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 744 744 $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 115 114 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 282 281 $0.00
90472 Immunization administration, each additional vaccine (list separately) 1,148 1,144 $0.00
80061 Lipid panel 1,455 1,454 $0.00
90756 384 384 $0.00
99173 2,170 2,166 $0.00
90707 108 108 $0.00
90715 513 513 $0.00
90750 162 162 $0.00
97803 1,595 1,593 $0.00
90791 Psychiatric diagnostic evaluation 336 336 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 613 612 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 353 352 $0.00
98926 93 78 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 674 665 $0.00
59025 Fetal non-stress test 31 27 $0.00
T1013 Sign language or oral interpretive services, per 15 minutes 2,360 2,136 $0.00
99401 64 64 $0.00
87210 114 112 $0.00
90661 715 715 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 608 592 $0.00
90713 60 60 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 18 18 $0.00
2028F 240 240 $0.00
90710 199 199 $0.00
X3904 3,697 2,030 $0.00
90653 39 39 $0.00
Z6304 147 142 $0.00
90700 115 115 $0.00
82947 55 54 $0.00
99188 80 80 $0.00
Z6300 26 26 $0.00
90461 59 59 $0.00
90633 448 448 $0.00
86480 56 56 $0.00
69209 109 108 $0.00
X3920 12 12 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 12 12 $0.00
90670 13 13 $0.00
Z6200 27 27 $0.00
90648 29 29 $0.00
Z6308 26 24 $0.00
90734 13 13 $0.00
11721 30 30 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 24 24 $0.00
90658 17 17 $0.00
91321 12 12 $0.00
90380 18 18 $0.00
82274 14 14 $0.00
99442 14 14 $0.00