Medicaid Provider Spending

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

FAMILY HEALTH CENTERS OF SAN DIEGO INC

NPI: 1528331287 · NATIONAL CITY, CA 91950 · Federally Qualified Health Center (FQHC) · NPI assigned 02/10/2012

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

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

$40.79M
Total Medicaid Paid
332,805
Total Claims
298,239
Beneficiaries
176
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROMAN, RICARDO (CFO)
NPI Enumeration Date02/10/2012

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 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 7,062 $1.89M
2019 16,730 $2.88M
2020 38,420 $4.40M
2021 49,737 $5.36M
2022 47,076 $5.21M
2023 54,844 $6.15M
2024 118,936 $14.89M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 131,553 107,472 $39.32M
00003 Internal/system code - not a standard HCPCS code 4,610 2,799 $1.38M
90834 Psychotherapy, 45 minutes with patient 6,369 5,242 $28K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,505 20,220 $15K
0134A 197 197 $12K
0013A 180 175 $9K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34,162 31,567 $4K
90791 Psychiatric diagnostic evaluation 802 802 $4K
90792 Psychiatric diagnostic evaluation with medical services 861 860 $3K
H1003 Prenatal care, at-risk enhanced service; education 200 192 $2K
90832 Psychotherapy, 30 minutes with patient 1,622 1,544 $2K
0011A 34 34 $2K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 838 592 $2K
G9920 Screening performed and negative 123 123 $1K
0012A 19 19 $1K
98940 316 221 $1K
99215 Prolong outpt/office vis 21 15 $943.80
90853 Group psychotherapy (other than of a multiple-family group) 34 13 $731.68
96156 40 40 $620.11
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 105 98 $578.45
98960 524 512 $548.75
99401 450 449 $227.16
36415 Collection of venous blood by venipuncture 2,594 2,511 $49.50
80053 Comprehensive metabolic panel 2,936 2,929 $0.00
99000 3,024 2,983 $0.00
90677 974 973 $0.00
86704 618 618 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,619 8,547 $0.00
90698 266 266 $0.00
85018 2,054 2,049 $0.00
2023F 174 174 $0.00
92551 4,056 4,037 $0.00
90651 1,200 1,200 $0.00
86592 1,490 1,487 $0.00
87086 Culture, bacterial; quantitative colony count, urine 726 716 $0.00
81015 978 961 $0.00
96127 2,531 2,292 $0.00
84443 Thyroid stimulating hormone (TSH) 2,392 2,390 $0.00
Z6410 928 913 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,016 1,993 $0.00
Z6402 606 605 $0.00
X3906 118 85 $0.00
86803 739 739 $0.00
87428 553 551 $0.00
Z6406 443 399 $0.00
83036 Hemoglobin; glycosylated (A1C) 2,662 2,662 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,905 2,898 $0.00
93000 360 360 $0.00
99381 145 143 $0.00
90674 698 698 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,581 1,580 $0.00
Z6204 616 599 $0.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 741 741 $0.00
90686 1,313 1,313 $0.00
86706 789 789 $0.00
97802 756 755 $0.00
90697 844 844 $0.00
82043 198 197 $0.00
X3924 1,057 842 $0.00
90744 191 191 $0.00
85651 103 103 $0.00
99385 92 92 $0.00
87070 329 329 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 505 502 $0.00
Z1034 2,140 1,828 $0.00
58300 43 43 $0.00
90696 245 245 $0.00
90732 14 14 $0.00
90619 474 474 $0.00
82951 12 12 $0.00
90381 17 17 $0.00
90680 292 292 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 297 297 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 339 335 $0.00
3008F 47 47 $0.00
80048 Basic metabolic panel (calcium, ionized) 147 147 $0.00
92250 790 790 $0.00
90716 149 149 $0.00
87340 75 75 $0.00
99459 589 587 $0.00
81001 97 88 $0.00
99406 37 37 $0.00
82728 25 25 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 14 14 $0.00
99383 14 14 $0.00
83550 99 99 $0.00
90656 318 318 $0.00
Z1038 44 44 $0.00
94760 76 71 $0.00
Z1032 74 74 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 16 16 $0.00
X3908 122 94 $0.00
91301 14 14 $0.00
90739 677 676 $0.00
99441 124 121 $0.00
96161 57 57 $0.00
99070 15 15 $0.00
3074F 45 45 $0.00
99384 12 12 $0.00
58301 14 14 $0.00
A9300 Exercise equipment 16 14 $0.00
90694 13 13 $0.00
90670 804 804 $0.00
81025 2,460 2,430 $0.00
T1013 Sign language or oral interpretive services, per 15 minutes 1,377 1,285 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,017 1,994 $0.00
Z6300 210 210 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,581 1,581 $0.00
97803 2,381 2,369 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 1,779 1,762 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,419 1,400 $0.00
90837 Psychotherapy, 53 minutes with patient 435 358 $0.00
90715 982 982 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 577 577 $0.00
99173 4,383 4,371 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,803 1,803 $0.00
92553 147 144 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,486 1,470 $0.00
90633 933 922 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,095 1,094 $0.00
90750 401 401 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,455 2,417 $0.00
99404 173 173 $0.00
80061 Lipid panel 2,531 2,527 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,985 7,709 $0.00
Z6308 110 104 $0.00
90700 154 154 $0.00
86480 924 924 $0.00
Z6304 608 593 $0.00
90707 95 95 $0.00
83540 119 119 $0.00
90756 918 917 $0.00
90746 114 114 $0.00
90461 1,155 1,148 $0.00
87210 1,246 1,242 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 825 823 $0.00
82570 213 212 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,161 1,161 $0.00
81003 1,099 1,091 $0.00
90472 Immunization administration, each additional vaccine (list separately) 2,058 2,055 $0.00
96160 2,394 2,385 $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 632 625 $0.00
90681 306 306 $0.00
Z6400 2,722 2,577 $0.00
90710 535 535 $0.00
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 400 398 $0.00
92015 Determination of refractive state 1,045 1,044 $0.00
90734 153 153 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 185 184 $0.00
81002 653 573 $0.00
90661 643 643 $0.00
V2020 Frames, purchases 413 413 $0.00
91313 155 155 $0.00
2028F 517 515 $0.00
99442 38 38 $0.00
Z6200 90 90 $0.00
Z6414 49 49 $0.00
92340 Fitting of spectacles, except for aphakia; monofocal 343 343 $0.00
3078F 44 44 $0.00
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 236 219 $0.00
A4267 Contraceptive supply, condom, male, each 25 24 $0.00
11721 194 194 $0.00
X3904 2,213 1,212 $0.00
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 135 122 $0.00
99201 17 17 $0.00
90473 12 12 $0.00
99188 30 30 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 13 13 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 18 18 $0.00
90653 50 50 $0.00
69209 16 16 $0.00
90648 39 39 $0.00
92341 35 35 $0.00
84460 12 12 $0.00
84450 12 12 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 140 140 $0.00