Medicaid Provider Spending

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

FAMILY HEALTH CENTERS OF SAN DIEGO INC

NPI: 1588901045 · SAN DIEGO, CA 92101 · Federally Qualified Health Center (FQHC) · NPI assigned 01/03/2013

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

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

$23.26M
Total Medicaid Paid
247,592
Total Claims
208,377
Beneficiaries
113
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROMAN, RICARDO (CHIEF FINANCIAL OFFICER)
Parent OrganizationFAMILY HEALTH CENTERS OF SAN DIEGO INC
NPI Enumeration Date01/03/2013

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 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 $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 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
2024 31,677 $3.26M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 112,147 82,817 $23.14M
90834 Psychotherapy, 45 minutes with patient 3,861 3,307 $34K
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 1,259 969 $32K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26,590 23,223 $30K
0134A 110 110 $7K
0013A 124 118 $6K
0034A 62 62 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 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 22 18 $2K
90791 Psychiatric diagnostic evaluation 1,139 1,138 $2K
90792 Psychiatric diagnostic evaluation with medical services 229 229 $2K
0012A 23 19 $1K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 110 108 $1K
0011A 90 87 $1K
90674 494 492 $260.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,882 3,837 $224.40
96127 1,766 1,694 $86.45
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5,267 5,244 $20.04
99406 1,228 1,142 $20.00
80053 Comprehensive metabolic panel 5,638 5,621 $18.38
83036 Hemoglobin; glycosylated (A1C) 4,638 4,634 $16.90
84443 Thyroid stimulating hormone (TSH) 4,137 4,135 $14.61
80061 Lipid panel 4,946 4,944 $11.42
36415 Collection of venous blood by venipuncture 4,219 4,013 $4.50
99000 3,160 2,661 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,110 1,030 $0.00
86704 807 807 $0.00
82043 586 586 $0.00
81015 1,291 1,255 $0.00
86706 1,114 1,113 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 271 254 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2,143 2,140 $0.00
86592 1,760 1,757 $0.00
87522 Neg quan hep c or qual rna 374 354 $0.00
90739 374 373 $0.00
83550 189 188 $0.00
87086 Culture, bacterial; quantitative colony count, urine 501 485 $0.00
86803 1,242 1,242 $0.00
87340 177 177 $0.00
90694 35 35 $0.00
90677 315 315 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,490 1,484 $0.00
87070 14 14 $0.00
80048 Basic metabolic panel (calcium, ionized) 383 381 $0.00
82728 126 125 $0.00
97802 116 115 $0.00
84153 156 156 $0.00
93000 335 331 $0.00
80050 General health panel 71 71 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 27 27 $0.00
81001 102 97 $0.00
94760 119 118 $0.00
85018 155 141 $0.00
87428 170 170 $0.00
0031A 28 28 $0.00
90651 98 98 $0.00
90688 13 13 $0.00
4000F 121 111 $0.00
91301 97 97 $0.00
90686 142 142 $0.00
86580 66 66 $0.00
H0001 Alcohol and/or drug assessment 31 13 $0.00
91303 28 28 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 321 319 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 92 91 $0.00
92551 12 12 $0.00
90632 27 27 $0.00
90636 14 14 $0.00
85651 13 13 $0.00
99402 12 12 $0.00
99459 13 13 $0.00
99385 12 12 $0.00
85610 701 601 $0.00
97803 899 894 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 914 907 $0.00
99404 12 12 $0.00
90472 Immunization administration, each additional vaccine (list separately) 419 414 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 521 521 $0.00
90832 Psychotherapy, 30 minutes with patient 790 761 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,622 5,154 $0.00
82570 576 575 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 407 406 $0.00
81025 313 303 $0.00
82947 210 187 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 753 736 $0.00
96160 239 239 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 886 878 $0.00
90756 764 763 $0.00
81003 1,262 1,227 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,481 1,475 $0.00
86480 484 483 $0.00
83540 198 197 $0.00
80354 321 314 $0.00
90750 258 258 $0.00
90715 158 158 $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 624 615 $0.00
80305 74 72 $0.00
87210 230 227 $0.00
90661 200 200 $0.00
91313 15 15 $0.00
99201 16 16 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 252 250 $0.00
99173 65 65 $0.00
90837 Psychotherapy, 53 minutes with patient 13 12 $0.00
80076 110 110 $0.00
84439 51 51 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 14 13 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 15 15 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 29 29 $0.00
2028F 32 32 $0.00
83721 30 30 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 14 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 12 12 $0.00