Clinic
Family Health Centers of San Diego INC
Family Health Centers of San Diego INC was paid $95.31M by Medicaid between Jan 2018 and Dec 2024, across 215 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
33Billing provider infoFAMILY HEALTH CENTERS OF SAN DIEGO INC
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
33aNPI1629456900assigned 05/07/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$95.31M
24GClaims917,136
24DCodes billed215
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#28 of 826
Median peer was paid$4.05M
This provider vs. median24×
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 | 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 | |
| 2024incomplete | 161,850 | $20.35M |
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 | 92% | 399,729 | 276,229 | $88.10M |
| 00003 | Internal/system code - not a standard HCPCS code | 6.3% | 14,903 | 10,580 | $6.01M |
| 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% | 106,067 | 95,146 | $278K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 13,508 | 7,243 | $155K |
| 98940 | <1% | 9,739 | 7,057 | $118K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 12,356 | 9,335 | $76K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 9,452 | 6,732 | $74K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 2,455 | 2,451 | $71K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 29,219 | 27,556 | $60K |
| 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% | 76,144 | 68,553 | $58K |
| 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% | 1,480 | 1,233 | $55K |
| 0134A | <1% | 635 | 630 | $37K |
203 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,042 | $27K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 7,163 | $26K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 7,155 | $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 | <1% | 328 | $25K |
| 0013A | <1% | 401 | $19K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 2,688 | $19K |
| 97161 | <1% | 378 | $13K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 6,194 | $9K |
| 0012A | <1% | 153 | $8K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 327 | $6K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 2,032 | $5K |
| 0011A | <1% | 119 | $5K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 270 | $4K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 7,013 | $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 | <1% | 35 | $3K |
| 86592 | <1% | 8,548 | $2K | |
| J3490 | Unclassified drugs | <1% | 38 | $2K |
| 97162 | <1% | 970 | $2K | |
| 99401 | <1% | 460 | $1K | |
| 81025 | <1% | 1,442 | $1K | |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 165 | $1K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 25 | $827.76 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 30 | $820.71 |
| 80053 | Comprehensive metabolic panel | <1% | 13,075 | $813.53 |
| 97803 | <1% | 5,668 | $797.87 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 10,072 | $727.66 |
| 87210 | <1% | 783 | $631.62 | |
| 98960 | <1% | 501 | $520.05 | |
| 90651 | <1% | 303 | $490.54 | |
| 97802 | <1% | 1,689 | $455.25 | |
| 99402 | <1% | 242 | $445.06 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 56 | $366.07 |
| 36415 | Collection of venous blood by venipuncture | <1% | 7,707 | $337.50 |
| 96156 | <1% | 95 | $335.96 | |
| 80061 | Lipid panel | <1% | 6,810 | $300.04 |
| 90674 | <1% | 1,291 | $260.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 244 | $248.52 |
| A4267 | Contraceptive supply, condom, male, each | <1% | 77 | $239.94 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 9,422 | $238.40 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 4,443 | $221.40 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 6,282 | $204.96 |
| 90686 | <1% | 495 | $200.00 | |
| 97010 | <1% | 1,045 | $192.60 | |
| 97164 | <1% | 784 | $148.24 | |
| 81003 | <1% | 1,329 | $138.92 | |
| A9300 | Exercise equipment | <1% | 388 | $112.50 |
| 81015 | <1% | 1,209 | $102.11 | |
| 81001 | <1% | 130 | $97.67 | |
| J0561 | Injection, penicillin g benzathine, 100,000 units | <1% | 43 | $76.65 |
| 87522 | Neg quan hep c or qual rna | <1% | 1,052 | $76.58 |
| 87536 | <1% | 4,292 | $75.57 | |
| S5199 | Personal care item, nos, each | <1% | 31 | $71.92 |
| 0094A | <1% | 17 | $67.00 | |
| 86593 | <1% | 1,414 | $63.06 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 3,559 | $56.59 |
| 82274 | <1% | 15 | $42.87 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 60 | $41.94 |
| 96127 | <1% | 4,105 | $23.65 | |
| 90756 | <1% | 1,926 | $20.00 | |
| 99000 | <1% | 7,600 | $18.15 | |
| 86803 | <1% | 2,997 | $11.31 | |
| 85610 | <1% | 1,254 | $6.92 | |
| 87081 | <1% | 1,721 | $5.62 | |
| 85018 | <1% | 394 | $1.66 | |
| 86480 | 0% | 2,596 | $0.00 | |
| X3904 | 0% | 16,089 | $0.00 | |
| 90750 | 0% | 1,210 | $0.00 | |
| 90715 | 0% | 706 | $0.00 | |
| 3078F | 0% | 1,890 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 127 | $0.00 |
| L1812 | Knee orthosis, elastic with joints, prefabricated, off-the-shelf | 0% | 270 | $0.00 |
| 86708 | 0% | 918 | $0.00 | |
| 20611 | 0% | 1,370 | $0.00 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 400 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 1,138 | $0.00 |
| 59425 | 0% | 248 | $0.00 | |
| 83540 | 0% | 477 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 1,317 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 1,412 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 25 | $0.00 |
| L3260 | Surgical boot/shoe, each | 0% | 83 | $0.00 |
| 99173 | 0% | 201 | $0.00 | |
| 2028F | 0% | 447 | $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% | 537 | $0.00 |
| 84439 | 0% | 264 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 1,265 | $0.00 |
| 82570 | 0% | 570 | $0.00 | |
| 1158F | 0% | 325 | $0.00 | |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | 0% | 333 | $0.00 |
| L1836 | Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf | 0% | 155 | $0.00 |
| 90611 | 0% | 461 | $0.00 | |
| 85007 | 0% | 112 | $0.00 | |
| 81002 | 0% | 208 | $0.00 | |
| 85014 | 0% | 134 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 269 | $0.00 |
| 84146 | 0% | 232 | $0.00 | |
| 99442 | 0% | 129 | $0.00 | |
| 80354 | 0% | 193 | $0.00 | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 0% | 53 | $0.00 |
| 96160 | 0% | 180 | $0.00 | |
| 90746 | 0% | 43 | $0.00 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 2,714 | $0.00 |
| 91313 | 0% | 550 | $0.00 | |
| 90734 | 0% | 239 | $0.00 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 0% | 102 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 53 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 153 | $0.00 |
| 84403 | 0% | 134 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 40 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 55 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 38 | $0.00 |
| 83721 | 0% | 13 | $0.00 | |
| 99404 | 0% | 12 | $0.00 | |
| M0247 | Intravenous infusion, sotrovimab, includes infusion and post administration monitoring | 0% | 15 | $0.00 |
| 1160F | 0% | 34 | $0.00 | |
| 76981 | 0% | 30 | $0.00 | |
| 99201 | 0% | 26 | $0.00 | |
| C1887 | Catheter, guiding (may include infusion/perfusion capability) | 0% | 86 | $0.00 |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 0% | 14 | $0.00 |
| 90661 | 0% | 452 | $0.00 | |
| 11721 | 0% | 24 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 17 | $0.00 |
| 69209 | 0% | 14 | $0.00 | |
| 84450 | 0% | 13 | $0.00 | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 0% | 17 | $0.00 |
| 90653 | 0% | 40 | $0.00 | |
| 84460 | 0% | 12 | $0.00 | |
| M0222 | Intravenous injection, bebtelovimab, includes injection and post administration monitoring | 0% | 44 | $0.00 |
| 97012 | 0% | 16 | $0.00 | |
| 4004F | 0% | 17 | $0.00 | |
| 91200 | 0% | 782 | $0.00 | |
| 86769 | 0% | 48 | $0.00 | |
| 90732 | 0% | 399 | $0.00 | |
| 3074F | 0% | 2,259 | $0.00 | |
| 93000 | 0% | 892 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 1,792 | $0.00 |
| 92250 | 0% | 25 | $0.00 | |
| 20610 | 0% | 2,511 | $0.00 | |
| 84153 | 0% | 54 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,298 | $0.00 |
| X3906 | 0% | 957 | $0.00 | |
| 3079F | 0% | 155 | $0.00 | |
| X3908 | 0% | 5,503 | $0.00 | |
| 99406 | 0% | 899 | $0.00 | |
| 90677 | 0% | 500 | $0.00 | |
| 99459 | 0% | 177 | $0.00 | |
| 87340 | 0% | 849 | $0.00 | |
| 99441 | 0% | 257 | $0.00 | |
| 90619 | 0% | 342 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 86140 | 0% | 507 | $0.00 | |
| 90739 | 0% | 1,012 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 961 | $0.00 |
| X3924 | 0% | 9,737 | $0.00 | |
| X3910 | 0% | 2,297 | $0.00 | |
| 86706 | 0% | 2,564 | $0.00 | |
| 90632 | 0% | 89 | $0.00 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 0% | 456 | $0.00 |
| 83550 | 0% | 415 | $0.00 | |
| 97014 | 0% | 249 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 1,999 | $0.00 |
| 82043 | 0% | 553 | $0.00 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 0% | 90 | $0.00 |
| 3008F | 0% | 642 | $0.00 | |
| 82728 | 0% | 372 | $0.00 | |
| 92551 | 0% | 176 | $0.00 | |
| 80050 | General health panel | 0% | 139 | $0.00 |
| 86704 | 0% | 2,176 | $0.00 | |
| 94760 | 0% | 1,085 | $0.00 | |
| 1126F | 0% | 15 | $0.00 | |
| 1170F | 0% | 20 | $0.00 | |
| X3936 | 0% | 17 | $0.00 | |
| 85651 | 0% | 665 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 525 | $0.00 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 231 | $0.00 |
| X3902 | 0% | 31 | $0.00 | |
| 90688 | 0% | 28 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 48 | $0.00 |
| G9012 | Other specified case management service not elsewhere classified | 0% | 183 | $0.00 |
| 97139 | 0% | 18 | $0.00 | |
| 0031A | 0% | 80 | $0.00 | |
| 90694 | 0% | 137 | $0.00 | |
| 99417 | Prolong home eval add 15m | 0% | 13 | $0.00 |
| 99385 | 0% | 26 | $0.00 | |
| 87428 | 0% | 128 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 43 | $0.00 |
| L3809 | Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type | 0% | 14 | $0.00 |
| 85027 | 0% | 76 | $0.00 | |
| A4467 | Belt, strap, sleeve, garment, or covering, any type | 0% | 104 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 14 | $0.00 |
| 91301 | 0% | 95 | $0.00 | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 488 | $0.00 |
| 91303 | 0% | 81 | $0.00 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | 0% | 14 | $0.00 |
| 20550 | 0% | 39 | $0.00 | |
| 90656 | 0% | 17 | $0.00 | |
| 91309 | 0% | 24 | $0.00 | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 0% | 14 | $0.00 |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | 0% | 13 | $0.00 |
| 90636 | 0% | 12 | $0.00 | |
| 87070 | 0% | 13 | $0.00 | |
| 83735 | 0% | 13 | $0.00 | |
| H0001 | Alcohol and/or drug assessment | 0% | 23 | $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 (CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.