Clinic
Family Health Centers of San Diego INC
Family Health Centers of San Diego INC was paid $23.26M by Medicaid between Jan 2018 and Dec 2024, across 113 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoFAMILY HEALTH CENTERS OF SAN DIEGO INC
SAN DIEGO, CA 92101
SAN DIEGO, CA 92101
33aNPI1588901045assigned 01/03/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$23.26M
24GClaims247,592
24DCodes billed113
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#162 of 826
Median peer was paid$4.05M
This provider vs. median5.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official ROMAN, RICARDO controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 19,174 | $2.74M | |
| 2019 | 21,593 | $3.01M | |
| 2020 | 45,116 | $3.99M | |
| 2021 | 48,008 | $3.83M | |
| 2022 | 40,152 | $3.03M | |
| 2023 | 41,872 | $3.39M | |
| 2024incomplete | 31,677 | $3.26M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 99% | 112,147 | 82,817 | $23.14M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 3,861 | 3,307 | $34K |
| G0467 | Community health center visit, returning patientFederally 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 | <1% | 1,259 | 969 | $32K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 26,590 | 23,223 | $30K |
| 0134A | <1% | 110 | 110 | $7K | |
| 0013A | <1% | 124 | 118 | $6K | |
| 0034A | <1% | 62 | 62 | $4K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 25,774 | 22,064 | $2K |
| 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 | <1% | 22 | 18 | $2K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,139 | 1,138 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 229 | 229 | $2K |
| 0012A | <1% | 23 | 19 | $1K |
101 more codes
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 110 | $1K |
| 0011A | <1% | 90 | $1K | |
| 90674 | <1% | 494 | $260.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,882 | $224.40 |
| 96127 | <1% | 1,766 | $86.45 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 5,267 | $20.04 |
| 99406 | <1% | 1,228 | $20.00 | |
| 80053 | Comprehensive metabolic panel | <1% | 5,638 | $18.38 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,638 | $16.90 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 4,137 | $14.61 |
| 80061 | Lipid panel | <1% | 4,946 | $11.42 |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,219 | $4.50 |
| 99000 | 0% | 3,160 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 1,110 | $0.00 |
| 86704 | 0% | 807 | $0.00 | |
| 82043 | 0% | 586 | $0.00 | |
| 81015 | 0% | 1,291 | $0.00 | |
| 86706 | 0% | 1,114 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 271 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 2,143 | $0.00 |
| 86592 | 0% | 1,760 | $0.00 | |
| 87522 | Neg quan hep c or qual rna | 0% | 374 | $0.00 |
| 90739 | 0% | 374 | $0.00 | |
| 83550 | 0% | 189 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 501 | $0.00 |
| 86803 | 0% | 1,242 | $0.00 | |
| 87340 | 0% | 177 | $0.00 | |
| 90694 | 0% | 35 | $0.00 | |
| 90677 | 0% | 315 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 1,490 | $0.00 |
| 87070 | 0% | 14 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 383 | $0.00 |
| 82728 | 0% | 126 | $0.00 | |
| 97802 | 0% | 116 | $0.00 | |
| 84153 | 0% | 156 | $0.00 | |
| 93000 | 0% | 335 | $0.00 | |
| 80050 | General health panel | 0% | 71 | $0.00 |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 27 | $0.00 |
| 81001 | 0% | 102 | $0.00 | |
| 94760 | 0% | 119 | $0.00 | |
| 85018 | 0% | 155 | $0.00 | |
| 87428 | 0% | 170 | $0.00 | |
| 0031A | 0% | 28 | $0.00 | |
| 90651 | 0% | 98 | $0.00 | |
| 90688 | 0% | 13 | $0.00 | |
| 4000F | 0% | 121 | $0.00 | |
| 91301 | 0% | 97 | $0.00 | |
| 90686 | 0% | 142 | $0.00 | |
| 86580 | 0% | 66 | $0.00 | |
| H0001 | Alcohol and/or drug assessment | 0% | 31 | $0.00 |
| 91303 | 0% | 28 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 321 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 92 | $0.00 |
| 92551 | 0% | 12 | $0.00 | |
| 90632 | 0% | 27 | $0.00 | |
| 90636 | 0% | 14 | $0.00 | |
| 85651 | 0% | 13 | $0.00 | |
| 99402 | 0% | 12 | $0.00 | |
| 99459 | 0% | 13 | $0.00 | |
| 99385 | 0% | 12 | $0.00 | |
| 85610 | 0% | 701 | $0.00 | |
| 97803 | 0% | 899 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 914 | $0.00 |
| 99404 | 0% | 12 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 419 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 521 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 790 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 5,622 | $0.00 |
| 82570 | 0% | 576 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 407 | $0.00 |
| 81025 | 0% | 313 | $0.00 | |
| 82947 | 0% | 210 | $0.00 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 753 | $0.00 |
| 96160 | 0% | 239 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 886 | $0.00 |
| 90756 | 0% | 764 | $0.00 | |
| 81003 | 0% | 1,262 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 1,481 | $0.00 |
| 86480 | 0% | 484 | $0.00 | |
| 83540 | 0% | 198 | $0.00 | |
| 80354 | 0% | 321 | $0.00 | |
| 90750 | 0% | 258 | $0.00 | |
| 90715 | 0% | 158 | $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 | 0% | 624 | $0.00 |
| 80305 | 0% | 74 | $0.00 | |
| 87210 | 0% | 230 | $0.00 | |
| 90661 | 0% | 200 | $0.00 | |
| 91313 | 0% | 15 | $0.00 | |
| 99201 | 0% | 16 | $0.00 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 0% | 252 | $0.00 |
| 99173 | 0% | 65 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 13 | $0.00 |
| 80076 | 0% | 110 | $0.00 | |
| 84439 | 0% | 51 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 14 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 15 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 29 | $0.00 |
| 2028F | 0% | 32 | $0.00 | |
| 83721 | 0% | 30 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 14 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialROMAN, RICARDO (CHIEF FINANCIAL OFFICER)
Parent organizationFAMILY HEALTH CENTERS OF SAN DIEGO INC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.