NPI: 1669827598 · SAN DIEGO, CA 92103 · Federally Qualified Health Center (FQHC) · NPI assigned 04/28/2016
Authorized official ROMAN, RICARDO controls 20+ related entities in our dataset. Read more
| Authorized Official | ROMAN, RICARDO (CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 04/28/2016 |
Other providers sharing the same authorized official: ROMAN, RICARDO
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 60 | $241.36 |
| 2019 | 13 | $133.00 |
| 2021 | 40 | $216.25 |
| 2022 | 323 | $3K |
| 2023 | 709 | $20K |
| 2024 | 1,420 | $66K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes with patient | 576 | 450 | $50K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 379 | 331 | $16K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 917 | 794 | $14K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 277 | 264 | $4K |
| 90791 | Psychiatric diagnostic evaluation | 17 | 17 | $2K |
| 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 | 102 | 92 | $2K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 252 | 91 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 29 | 28 | $293.08 |
| 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 | 16 | 12 | $0.00 |