Medicaid Provider Spending

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

FAMILY HEALTH CENTERS OF SAN DIEGO INC

NPI: 1629456900 · SAN DIEGO, CA 92103 · Federally Qualified Health Center (FQHC) · NPI assigned 05/07/2015

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

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

$95.31M
Total Medicaid Paid
917,136
Total Claims
732,934
Beneficiaries
215
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROMAN, RICARDO (CFO)
NPI Enumeration Date05/07/2015

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 $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 $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 43,530 $5.90M
2019 53,797 $7.37M
2020 131,194 $9.50M
2021 150,058 $12.81M
2022 171,931 $18.11M
2023 204,776 $21.27M
2024 161,850 $20.35M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 399,729 276,229 $88.10M
00003 Internal/system code - not a standard HCPCS code 14,903 10,580 $6.01M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 106,067 95,146 $278K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 13,508 7,243 $155K
98940 9,739 7,057 $118K
90834 Psychotherapy, 45 minutes with patient 12,356 9,335 $76K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 9,452 6,732 $74K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,455 2,451 $71K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 29,219 27,556 $60K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 76,144 68,553 $58K
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 1,480 1,233 $55K
0134A 635 630 $37K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,042 1,041 $27K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 7,163 6,890 $26K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 7,155 6,863 $26K
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 328 212 $25K
0013A 401 370 $19K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,688 1,587 $19K
97161 378 369 $13K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 6,194 6,073 $9K
0012A 153 152 $8K
90853 Group psychotherapy (other than of a multiple-family group) 327 79 $6K
90791 Psychiatric diagnostic evaluation 2,032 1,948 $5K
0011A 119 119 $5K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 270 227 $4K
90832 Psychotherapy, 30 minutes with patient 7,013 3,937 $3K
G0469 Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new 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 35 30 $3K
86592 8,548 8,449 $2K
J3490 Unclassified drugs 38 38 $2K
97162 970 956 $2K
99401 460 457 $1K
81025 1,442 1,415 $1K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 165 127 $1K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 25 24 $827.76
96110 Developmental screening, with scoring and documentation, per standardized instrument 30 30 $820.71
80053 Comprehensive metabolic panel 13,075 13,001 $813.53
97803 5,668 5,640 $797.87
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 10,072 9,974 $727.66
87210 783 780 $631.62
98960 501 417 $520.05
90651 303 303 $490.54
97802 1,689 1,689 $455.25
99402 242 242 $445.06
H1003 Prenatal care, at-risk enhanced service; education 56 50 $366.07
36415 Collection of venous blood by venipuncture 7,707 7,515 $337.50
96156 95 87 $335.96
80061 Lipid panel 6,810 6,802 $300.04
90674 1,291 1,290 $260.00
J0696 Injection, ceftriaxone sodium, per 250 mg 244 238 $248.52
A4267 Contraceptive supply, condom, male, each 77 76 $239.94
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,422 9,348 $238.40
84443 Thyroid stimulating hormone (TSH) 4,443 4,431 $221.40
83036 Hemoglobin; glycosylated (A1C) 6,282 6,278 $204.96
90686 495 491 $200.00
97010 1,045 641 $192.60
97164 784 754 $148.24
81003 1,329 1,302 $138.92
A9300 Exercise equipment 388 345 $112.50
81015 1,209 1,176 $102.11
81001 130 128 $97.67
J0561 Injection, penicillin g benzathine, 100,000 units 43 41 $76.65
87522 Neg quan hep c or qual rna 1,052 996 $76.58
87536 4,292 4,280 $75.57
S5199 Personal care item, nos, each 31 30 $71.92
0094A 17 17 $67.00
86593 1,414 1,390 $63.06
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,559 3,470 $56.59
82274 15 15 $42.87
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 60 58 $41.94
96127 4,105 3,896 $23.65
90756 1,926 1,924 $20.00
99000 7,600 7,119 $18.15
86803 2,997 2,996 $11.31
85610 1,254 1,231 $6.92
87081 1,721 1,715 $5.62
85018 394 388 $1.66
86480 2,596 2,591 $0.00
X3904 16,089 8,832 $0.00
90750 1,210 1,209 $0.00
90715 706 706 $0.00
3078F 1,890 1,849 $0.00
90837 Psychotherapy, 53 minutes with patient 127 82 $0.00
L1812 Knee orthosis, elastic with joints, prefabricated, off-the-shelf 270 267 $0.00
86708 918 918 $0.00
20611 1,370 1,080 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 400 377 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,138 1,128 $0.00
59425 248 215 $0.00
83540 477 477 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,317 1,302 $0.00
90472 Immunization administration, each additional vaccine (list separately) 1,412 1,408 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 25 25 $0.00
L3260 Surgical boot/shoe, each 83 80 $0.00
99173 201 201 $0.00
2028F 447 441 $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 537 537 $0.00
84439 264 259 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,265 1,265 $0.00
82570 570 570 $0.00
1158F 325 325 $0.00
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose 333 183 $0.00
L1836 Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf 155 154 $0.00
90611 461 460 $0.00
85007 112 112 $0.00
81002 208 183 $0.00
85014 134 134 $0.00
99215 Prolong outpt/office vis 269 259 $0.00
84146 232 230 $0.00
99442 129 126 $0.00
80354 193 193 $0.00
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 53 53 $0.00
96160 180 180 $0.00
90746 43 43 $0.00
T1013 Sign language or oral interpretive services, per 15 minutes 2,714 2,556 $0.00
91313 550 550 $0.00
90734 239 239 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 102 101 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 53 53 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 153 152 $0.00
84403 134 133 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 40 40 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 55 55 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 38 38 $0.00
83721 13 13 $0.00
99404 12 12 $0.00
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 15 15 $0.00
1160F 34 34 $0.00
76981 30 30 $0.00
99201 26 26 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 86 86 $0.00
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 14 13 $0.00
90661 452 452 $0.00
11721 24 24 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 17 17 $0.00
69209 14 13 $0.00
84450 13 13 $0.00
97530 Therapeutic activities, direct patient contact, each 15 minutes 17 12 $0.00
90653 40 40 $0.00
84460 12 12 $0.00
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 44 44 $0.00
97012 16 12 $0.00
4004F 17 17 $0.00
91200 782 781 $0.00
86769 48 48 $0.00
90732 399 399 $0.00
3074F 2,259 2,200 $0.00
93000 892 882 $0.00
90792 Psychiatric diagnostic evaluation with medical services 1,792 1,790 $0.00
92250 25 25 $0.00
20610 2,511 2,140 $0.00
84153 54 54 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,298 1,291 $0.00
X3906 957 826 $0.00
3079F 155 155 $0.00
X3908 5,503 3,334 $0.00
99406 899 851 $0.00
90677 500 500 $0.00
99459 177 177 $0.00
87340 849 847 $0.00
99441 257 250 $0.00
90619 342 342 $0.00
90716 12 12 $0.00
86140 507 502 $0.00
90739 1,012 1,008 $0.00
80048 Basic metabolic panel (calcium, ionized) 961 947 $0.00
X3924 9,737 8,354 $0.00
X3910 2,297 1,549 $0.00
86706 2,564 2,564 $0.00
90632 89 89 $0.00
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 456 431 $0.00
83550 415 415 $0.00
97014 249 154 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,999 1,924 $0.00
82043 553 553 $0.00
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 90 90 $0.00
3008F 642 626 $0.00
82728 372 372 $0.00
92551 176 176 $0.00
80050 General health panel 139 139 $0.00
86704 2,176 2,175 $0.00
94760 1,085 1,009 $0.00
1126F 15 15 $0.00
1170F 20 20 $0.00
X3936 17 17 $0.00
85651 665 656 $0.00
87086 Culture, bacterial; quantitative colony count, urine 525 518 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 231 228 $0.00
X3902 31 20 $0.00
90688 28 28 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 48 48 $0.00
G9012 Other specified case management service not elsewhere classified 183 119 $0.00
97139 18 15 $0.00
0031A 80 80 $0.00
90694 137 137 $0.00
99417 Prolong home eval add 15m 13 13 $0.00
99385 26 26 $0.00
87428 128 126 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 43 43 $0.00
L3809 Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type 14 14 $0.00
85027 76 76 $0.00
A4467 Belt, strap, sleeve, garment, or covering, any type 104 104 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 14 13 $0.00
91301 95 95 $0.00
G9008 Coordinated care fee, physician coordinated care oversight services 488 336 $0.00
91303 81 81 $0.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 14 13 $0.00
20550 39 38 $0.00
90656 17 17 $0.00
91309 24 24 $0.00
H1001 Prenatal care, at-risk enhanced service; antepartum management 14 14 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 13 12 $0.00
90636 12 12 $0.00
87070 13 13 $0.00
83735 13 12 $0.00
H0001 Alcohol and/or drug assessment 23 12 $0.00