NPI: 1568845741 · EL CAJON, CA 92020 · Federally Qualified Health Center (FQHC) · NPI assigned 07/07/2015
Authorized official MATTSON, KEVIN controls 16+ related entities in our dataset. Read more
| Authorized Official | MATTSON, KEVIN (PRESIDENT AND CEO) |
| NPI Enumeration Date | 07/07/2015 |
Other providers sharing the same authorized official: MATTSON, KEVIN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,796 | $1.36M |
| 2019 | 14,210 | $1.40M |
| 2020 | 41,182 | $5.21M |
| 2021 | 126,415 | $11.21M |
| 2022 | 157,362 | $13.21M |
| 2023 | 177,493 | $15.75M |
| 2024 | 142,731 | $16.00M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 237,342 | 187,673 | $53.54M |
| 00003 | Internal/system code - not a standard HCPCS code | 23,271 | 19,099 | $7.44M |
| H2015 | Comprehensive community support services, per 15 minutes | 3,038 | 2,674 | $1.02M |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 2,003 | 1,680 | $478K |
| H2010 | Comprehensive medication services, per 15 minutes | 1,185 | 1,156 | $292K |
| T1017 | Targeted case management, each 15 minutes | 1,630 | 1,156 | $287K |
| 0011A | 2,448 | 1,284 | $125K | |
| 90832 | Psychotherapy, 30 minutes with patient | 38,943 | 21,832 | $114K |
| 0012A | 2,021 | 1,054 | $106K | |
| H0032 | Mental health service plan development by non-physician | 192 | 192 | $93K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 63,043 | 54,543 | $93K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 39,130 | 34,372 | $91K |
| 90791 | Psychiatric diagnostic evaluation | 5,128 | 4,064 | $65K |
| 0064A | 898 | 483 | $47K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 2,658 | 2,266 | $46K |
| 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 | 2,354 | 2,113 | $41K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 27,892 | 23,545 | $37K |
| D9430 | 852 | 721 | $21K | |
| 0031A | 405 | 239 | $20K | |
| 0002A | 342 | 180 | $18K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1,556 | 1,342 | $18K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 1,527 | 1,522 | $18K |
| 0001A | 327 | 171 | $17K | |
| 0071A | 278 | 147 | $15K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 9,870 | 6,720 | $14K |
| 0004A | 226 | 123 | $12K | |
| 0072A | 195 | 101 | $10K | |
| 90834 | Psychotherapy, 45 minutes with patient | 1,442 | 718 | $9K |
| 90837 | Psychotherapy, 53 minutes with patient | 202 | 147 | $7K |
| 0054A | 129 | 68 | $7K | |
| 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 | 129 | 117 | $5K |
| 98940 | 5,323 | 3,444 | $4K | |
| 99215 | Prolong outpt/office vis | 2,087 | 1,911 | $4K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1,437 | 1,376 | $4K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 804 | 759 | $3K |
| 0051A | 40 | 20 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | 116 | 112 | $2K |
| D4910 | 24 | 24 | $2K | |
| 0052A | 32 | 16 | $2K | |
| 99000 | 6,494 | 6,060 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | 22 | 22 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 28 | 28 | $1K |
| 90899 | 95 | 81 | $1K | |
| 80305 | 1,437 | 1,204 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 698 | 678 | $1K |
| 96156 | 2,083 | 2,043 | $970.22 | |
| 0134A | 14 | 14 | $921.25 | |
| 0124A | 15 | 15 | $904.50 | |
| D0274 | Bitewings - four radiographic images | 21 | 21 | $840.00 |
| D0120 | Periodic oral evaluation - established patient | 25 | 25 | $700.00 |
| 92551 | 1,338 | 1,304 | $521.68 | |
| 90686 | 434 | 423 | $514.09 | |
| G9920 | Screening performed and negative | 655 | 584 | $426.59 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,197 | 1,160 | $304.32 |
| 90677 | 28 | 27 | $287.29 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 413 | 406 | $237.80 |
| 90715 | 150 | 147 | $237.66 | |
| 96160 | 1,731 | 1,680 | $220.90 | |
| 90651 | 50 | 49 | $215.00 | |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | 493 | 339 | $192.50 |
| 99173 | 1,528 | 1,492 | $171.97 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 173 | 169 | $148.82 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 214 | 212 | $109.63 |
| 90698 | 19 | 18 | $108.85 | |
| 90656 | 74 | 74 | $106.16 | |
| 98942 | 175 | 140 | $105.35 | |
| 99205 | Prolong outpt/office vis | 125 | 123 | $82.70 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 41 | 39 | $68.68 |
| 99383 | 18 | 17 | $54.83 | |
| 97026 | 720 | 556 | $42.92 | |
| 90744 | 17 | 16 | $35.00 | |
| 90670 | 79 | 75 | $27.00 | |
| 90648 | 41 | 39 | $18.00 | |
| 90723 | 14 | 12 | $18.00 | |
| 85018 | 397 | 390 | $17.89 | |
| 83655 | 42 | 42 | $10.63 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 54,681 | 46,038 | $9.32 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1,511 | 1,493 | $8.24 |
| 81002 | 92 | 88 | $4.30 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 1,872 | 1,725 | $0.79 |
| S9451 | Exercise classes, non-physician provider, per session | 9,435 | 9,036 | $0.19 |
| 1125F | 385 | 363 | $0.05 | |
| S9452 | Nutrition classes, non-physician provider, per session | 13,541 | 12,823 | $0.05 |
| 1159F | 55,223 | 46,813 | $0.04 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 80 | 80 | $0.00 |
| 90734 | 12 | 12 | $0.00 | |
| 97813 | 373 | 299 | $0.00 | |
| 97810 | 197 | 171 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 79 | 79 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 186 | 186 | $0.00 |
| 3077F | 12 | 12 | $0.00 | |
| 97811 | 197 | 171 | $0.00 | |
| 90461 | 203 | 202 | $0.00 | |
| 3078F | 714 | 690 | $0.00 | |
| 90750 | 14 | 14 | $0.00 | |
| 90633 | 56 | 56 | $0.00 | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 33 | 33 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 59 | 59 | $0.00 |
| 96165 | 32 | 32 | $0.00 | |
| 3085F | 149 | 145 | $0.00 | |
| 4064F | 26 | 26 | $0.00 | |
| 4004F | 48 | 38 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 12 | 12 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 14 | 14 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 12 | 12 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 7,101 | 6,931 | $0.00 |
| 3008F | 14,507 | 13,712 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 6,550 | 5,499 | $0.00 |
| 3074F | 878 | 847 | $0.00 | |
| 97814 | 316 | 250 | $0.00 | |
| 3075F | 26 | 26 | $0.00 | |
| 3351F | 258 | 241 | $0.00 | |
| 90688 | 92 | 92 | $0.00 | |
| 36416 | 69 | 66 | $0.00 | |
| 1000F | 78 | 69 | $0.00 | |
| 3079F | 197 | 190 | $0.00 | |
| 1126F | 18 | 17 | $0.00 | |
| 2023F | 52 | 52 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 35 | 34 | $0.00 |
| 3354F | 30 | 29 | $0.00 | |
| 96127 | 30 | 30 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 47 | 47 | $0.00 |
| 90619 | 12 | 12 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 28 | 28 | $0.00 |