Medicaid Provider Spending

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

FAMILY HEALTH CENTERS OF SAN DIEGO, INC

NPI: 1508801069 · SPRING VALLEY, CA 91977 · Federally Qualified Health Center (FQHC) · NPI assigned 06/18/2006

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

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

$47.71M
Total Medicaid Paid
537,926
Total Claims
468,662
Beneficiaries
197
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROMAN, RICARDO (CFO)
NPI Enumeration Date06/18/2006

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 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 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 40,336 $6.70M
2019 55,566 $5.88M
2020 105,036 $7.31M
2021 110,351 $7.32M
2022 64,944 $5.31M
2023 90,408 $7.66M
2024 71,285 $7.53M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 212,630 168,568 $37.43M
00003 Internal/system code - not a standard HCPCS code 42,975 30,494 $10.08M
90834 Psychotherapy, 45 minutes with patient 13,877 11,954 $65K
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 951 855 $21K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit 138 110 $15K
0134A 246 246 $13K
0002A 165 165 $11K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31,300 29,362 $11K
0001A 159 154 $10K
0013A 114 114 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36,983 34,157 $6K
90832 Psychotherapy, 30 minutes with patient 6,332 5,778 $4K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 283 264 $4K
98960 1,054 955 $4K
0004A 53 53 $4K
96156 176 168 $4K
0071A 34 34 $2K
H1001 Prenatal care, at-risk enhanced service; antepartum management 31 28 $2K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 44 32 $2K
G0469 Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new 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 mental health visit 13 12 $1K
0011A 20 20 $1K
0072A 18 18 $1K
0012A 17 16 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12,056 11,512 $1K
90686 3,302 3,297 $899.00
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 35 27 $686.88
90756 1,724 1,719 $289.00
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 37 34 $217.36
80061 Lipid panel 5,107 5,099 $80.78
80053 Comprehensive metabolic panel 5,224 5,211 $64.96
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,999 8,943 $64.72
97803 6,470 6,431 $52.22
84443 Thyroid stimulating hormone (TSH) 4,347 4,338 $44.28
86803 1,501 1,498 $25.14
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2,009 2,004 $20.26
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,842 3,818 $20.25
83036 Hemoglobin; glycosylated (A1C) 4,976 4,967 $17.08
96127 4,563 4,255 $14.90
86704 658 656 $10.71
90460 Immunization administration through 18 years of age via any route, first or only component 3,866 3,851 $10.42
86706 756 753 $9.51
87340 334 333 $9.12
87086 Culture, bacterial; quantitative colony count, urine 1,027 1,010 $7.15
81002 5,078 3,997 $6.43
90461 2,332 2,329 $6.00
86592 1,887 1,877 $3.84
81001 191 187 $2.77
82570 710 708 $0.00
2028F 1,504 1,482 $0.00
90837 Psychotherapy, 53 minutes with patient 433 411 $0.00
99404 1,113 1,101 $0.00
90670 1,532 1,532 $0.00
81025 2,663 2,619 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,775 1,771 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 398 395 $0.00
90633 1,059 1,022 $0.00
Z6304 868 853 $0.00
3078F 1,131 1,117 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,348 2,343 $0.00
90472 Immunization administration, each additional vaccine (list separately) 1,635 1,629 $0.00
84460 408 407 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,064 2,060 $0.00
82947 447 443 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 378 375 $0.00
99401 493 486 $0.00
99188 40 40 $0.00
80354 162 161 $0.00
84450 409 408 $0.00
Z6400 1,930 1,620 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,545 2,523 $0.00
T1013 Sign language or oral interpretive services, per 15 minutes 1,172 1,133 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,619 1,596 $0.00
96160 2,198 2,182 $0.00
86480 782 779 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,171 1,156 $0.00
90715 1,578 1,577 $0.00
90734 555 555 $0.00
99173 3,762 3,751 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,567 2,484 $0.00
87210 1,292 1,283 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 560 554 $0.00
Z6414 46 42 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,143 1,143 $0.00
90791 Psychiatric diagnostic evaluation 2,325 2,316 $0.00
Z6308 205 190 $0.00
92553 215 214 $0.00
85610 136 131 $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 5,490 5,350 $0.00
Z6300 509 509 $0.00
81003 1,519 1,493 $0.00
90710 389 389 $0.00
90473 12 12 $0.00
90700 81 80 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 76 73 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 262 256 $0.00
98940 18 18 $0.00
83540 189 189 $0.00
59425 14 12 $0.00
11721 255 254 $0.00
90681 267 265 $0.00
84439 64 64 $0.00
90648 40 40 $0.00
91313 221 220 $0.00
90750 346 346 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 291 290 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 183 183 $0.00
90707 41 41 $0.00
Z6200 74 74 $0.00
99442 33 31 $0.00
99201 209 208 $0.00
90653 20 20 $0.00
A4267 Contraceptive supply, condom, male, each 12 12 $0.00
85014 15 15 $0.00
82247 29 24 $0.00
82274 12 12 $0.00
59025 Fetal non-stress test 16 13 $0.00
82248 16 16 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 12 12 $0.00
90380 14 14 $0.00
90661 114 114 $0.00
90658 12 12 $0.00
H1003 Prenatal care, at-risk enhanced service; education 36 28 $0.00
90744 720 719 $0.00
Z6204 357 352 $0.00
81015 1,441 1,412 $0.00
36415 Collection of venous blood by venipuncture 4,835 4,728 $0.00
Z6410 547 544 $0.00
36416 479 478 $0.00
Z1032 173 172 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,205 1,193 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,551 2,529 $0.00
3074F 1,385 1,366 $0.00
82043 638 637 $0.00
99000 3,374 3,284 $0.00
94760 1,343 1,282 $0.00
97802 1,940 1,933 $0.00
90732 213 212 $0.00
97139 132 85 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 431 424 $0.00
90651 1,586 1,584 $0.00
85018 3,992 3,980 $0.00
87081 255 254 $0.00
90619 342 341 $0.00
82951 579 577 $0.00
87070 193 192 $0.00
Z1034 6,314 5,049 $0.00
80048 Basic metabolic panel (calcium, ionized) 397 394 $0.00
93000 1,551 1,545 $0.00
90697 674 672 $0.00
87428 691 689 $0.00
92551 4,526 4,502 $0.00
97162 27 27 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 548 547 $0.00
90698 885 885 $0.00
90680 885 885 $0.00
85651 161 159 $0.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 34 32 $0.00
3008F 320 315 $0.00
99381 299 296 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 881 881 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 12 12 $0.00
80050 General health panel 31 31 $0.00
X4304 390 156 $0.00
Z6406 331 324 $0.00
99406 442 432 $0.00
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 303 299 $0.00
90694 96 96 $0.00
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 298 277 $0.00
82728 63 62 $0.00
99402 327 324 $0.00
90677 649 646 $0.00
83550 128 128 $0.00
90696 81 81 $0.00
90674 45 45 $0.00
Z6402 259 258 $0.00
99385 24 24 $0.00
Z1038 68 68 $0.00
99384 21 21 $0.00
3079F 18 15 $0.00
96161 46 46 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 29 28 $0.00
90688 291 289 $0.00
99070 38 38 $0.00
90656 254 254 $0.00
99459 154 154 $0.00
90716 46 46 $0.00
99403 12 12 $0.00
90792 Psychiatric diagnostic evaluation with medical services 132 132 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 25 24 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 37 37 $0.00
H0001 Alcohol and/or drug assessment 33 21 $0.00
90381 29 29 $0.00
90739 43 43 $0.00
99441 26 25 $0.00
86769 16 16 $0.00
99383 17 17 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12 12 $0.00