NPI: 1558852947 · SAN YSIDRO, CA 92173 · Federally Qualified Health Center (FQHC) · NPI assigned 05/22/2018
Authorized official MATTSON, KEVIN controls 16+ related entities in our dataset. Read more
| Authorized Official | MATTSON, KEVIN (PRESIDENT/CEO) |
| NPI Enumeration Date | 05/22/2018 |
Other providers sharing the same authorized official: MATTSON, KEVIN
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,830 | $120K |
| 2020 | 90,211 | $6.26M |
| 2021 | 144,477 | $7.24M |
| 2022 | 108,150 | $5.67M |
| 2023 | 133,266 | $8.42M |
| 2024 | 73,862 | $5.92M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 143,548 | 119,533 | $26.23M |
| 00003 | Internal/system code - not a standard HCPCS code | 26,657 | 25,258 | $7.05M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39,836 | 35,430 | $88K |
| 96156 | 11,022 | 10,587 | $40K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 9,961 | 9,439 | $35K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 18,443 | 16,636 | $35K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8,867 | 8,451 | $20K |
| 0154A | 236 | 236 | $16K | |
| 0124A | 229 | 229 | $15K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6,836 | 6,509 | $15K |
| 90677 | 1,442 | 1,385 | $13K | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 8,691 | 8,290 | $12K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 131 | 84 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6,318 | 6,165 | $7K |
| 90686 | 12,240 | 11,866 | $7K | |
| 92551 | 13,535 | 13,149 | $5K | |
| 90648 | 7,697 | 7,421 | $4K | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 264 | 250 | $3K |
| 90670 | 6,361 | 6,152 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3,017 | 2,964 | $3K |
| 0111A | 41 | 41 | $3K | |
| 90723 | 2,965 | 2,876 | $2K | |
| 99000 | 14,298 | 13,525 | $2K | |
| 99173 | 13,438 | 13,062 | $2K | |
| G9920 | Screening performed and negative | 6,186 | 5,441 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 17,807 | 17,630 | $2K |
| 0134A | 24 | 24 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 9,848 | 9,615 | $1K |
| 81025 | 5,164 | 4,919 | $1K | |
| 90681 | 1,945 | 1,893 | $1K | |
| 90700 | 1,961 | 1,891 | $1K | |
| 85018 | 11,324 | 10,955 | $916.62 | |
| 90633 | 2,633 | 2,552 | $909.79 | |
| 96160 | 6,563 | 6,528 | $900.24 | |
| 0144A | 12 | 12 | $804.00 | |
| 0164A | 12 | 12 | $804.00 | |
| 90716 | 2,244 | 2,181 | $791.34 | |
| 90707 | 1,923 | 1,867 | $744.22 | |
| 99381 | 424 | 411 | $630.35 | |
| 99215 | Prolong outpt/office vis | 294 | 285 | $490.97 |
| 81002 | 6,453 | 5,115 | $460.72 | |
| 90651 | 1,233 | 1,214 | $368.00 | |
| 90619 | 184 | 178 | $340.92 | |
| 90713 | 393 | 384 | $316.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 189 | 185 | $306.66 |
| 90715 | 250 | 240 | $258.54 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 29 | 28 | $233.52 |
| 83655 | 1,441 | 1,411 | $182.95 | |
| 91321 | 431 | 425 | $181.92 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 329 | 326 | $98.42 |
| 90656 | 906 | 902 | $86.07 | |
| 90461 | 5,237 | 5,195 | $78.33 | |
| 88142 | 815 | 802 | $70.51 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3,787 | 3,778 | $48.86 |
| 90688 | 1,484 | 1,479 | $27.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 107 | 104 | $26.37 |
| 90474 | 61 | 59 | $22.44 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 65 | 64 | $22.04 |
| 90734 | 381 | 379 | $18.00 | |
| 86580 | 204 | 200 | $13.38 | |
| 90685 | 96 | 86 | $9.00 | |
| 96165 | 132 | 131 | $7.94 | |
| 36415 | Collection of venous blood by venipuncture | 17,982 | 17,530 | $3.15 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 9,414 | 8,323 | $0.60 |
| S9451 | Exercise classes, non-physician provider, per session | 5,568 | 5,526 | $0.10 |
| S9452 | Nutrition classes, non-physician provider, per session | 4,896 | 4,850 | $0.09 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 612 | 595 | $0.08 |
| Z6414 | 579 | 571 | $0.00 | |
| Z6208 | 275 | 270 | $0.00 | |
| 1159F | 38,493 | 34,478 | $0.00 | |
| Z6400 | 3,453 | 2,788 | $0.00 | |
| Z6300 | 1,145 | 1,142 | $0.00 | |
| Z6308 | 92 | 91 | $0.00 | |
| Z6200 | 965 | 961 | $0.00 | |
| 99201 | 27 | 27 | $0.00 | |
| 3078F | 199 | 198 | $0.00 | |
| Z6304 | 249 | 248 | $0.00 | |
| 3085F | 36 | 36 | $0.00 | |
| 90687 | 28 | 28 | $0.00 | |
| 99188 | 140 | 140 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 17 | 17 | $0.00 |
| 59425 | 14 | 12 | $0.00 | |
| Z6408 | 16 | 16 | $0.00 | |
| 91322 | 14 | 14 | $0.00 | |
| 3008F | 3,493 | 3,466 | $0.00 | |
| Z1034 | 8,501 | 6,131 | $0.00 | |
| 36416 | 1,974 | 1,972 | $0.00 | |
| Z6406 | 2,116 | 1,828 | $0.00 | |
| Z6402 | 1,497 | 1,476 | $0.00 | |
| 90480 | 15 | 15 | $0.00 | |
| 3074F | 212 | 211 | $0.00 | |
| Z6204 | 638 | 594 | $0.00 | |
| 89240 | 28 | 27 | $0.00 | |
| Z1032 | 223 | 223 | $0.00 | |
| 1000F | 13 | 13 | $0.00 | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 19 | 18 | $0.00 |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 13 | 13 | $0.00 |
| Z1038 | 39 | 39 | $0.00 | |
| 90696 | 36 | 36 | $0.00 | |
| 96127 | 12 | 12 | $0.00 | |
| 90647 | 12 | 12 | $0.00 | |
| 90381 | 56 | 54 | $0.00 | |
| 90680 | 25 | 25 | $0.00 | |
| 99383 | 16 | 16 | $0.00 |