NPI: 1922051812 · CHULA VISTA, CA 91911 · Federally Qualified Health Center (FQHC) · NPI assigned 05/19/2006
Authorized official MATTSON, KEVIN controls 16+ related entities in our dataset. Read more
| Authorized Official | MATTSON, KEVIN (PRESIDENT/CEO) |
| NPI Enumeration Date | 05/19/2006 |
Other providers sharing the same authorized official: MATTSON, KEVIN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,620 | $1.62M |
| 2019 | 8,290 | $1.36M |
| 2020 | 12,362 | $1.66M |
| 2021 | 22,781 | $2.13M |
| 2022 | 48,558 | $3.54M |
| 2023 | 101,294 | $7.38M |
| 2024 | 57,883 | $6.40M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 89,022 | 78,717 | $23.86M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31,764 | 28,327 | $67K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11,199 | 10,257 | $38K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 16,121 | 14,724 | $28K |
| 0124A | 245 | 245 | $16K | |
| 0134A | 197 | 197 | $13K | |
| 96156 | 3,549 | 3,428 | $10K | |
| 0004A | 145 | 85 | $8K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1,563 | 1,468 | $7K |
| 0054A | 50 | 50 | $3K | |
| 99000 | 4,145 | 3,975 | $3K | |
| 99402 | 95 | 94 | $3K | |
| 90686 | 2,194 | 2,076 | $3K | |
| 99401 | 120 | 120 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1,011 | 957 | $2K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 148 | 148 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 981 | 948 | $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 | 142 | 124 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 103 | 96 | $2K |
| 90677 | 137 | 130 | $1K | |
| 92551 | 2,860 | 2,761 | $1K | |
| G9920 | Screening performed and negative | 2,654 | 2,349 | $1K |
| 0064A | 19 | 19 | $1K | |
| J3490 | Unclassified drugs | 45 | 31 | $1K |
| 81025 | 435 | 434 | $1K | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 256 | 250 | $980.91 |
| A4267 | Contraceptive supply, condom, male, each | 84 | 84 | $905.52 |
| 0073A | 12 | 12 | $804.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2,238 | 2,126 | $619.18 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 145 | 138 | $555.66 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 691 | 682 | $495.94 |
| 90651 | 253 | 246 | $466.00 | |
| 90734 | 81 | 78 | $448.00 | |
| 99173 | 2,742 | 2,641 | $442.61 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 265 | 246 | $412.78 |
| S9446 | Patient education, not otherwise classified, non-physician provider, group, per session | 103 | 103 | $392.43 |
| 99384 | 249 | 242 | $390.72 | |
| 90662 | 129 | 125 | $354.45 | |
| 85018 | 3,455 | 3,322 | $327.31 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 82 | 79 | $290.50 |
| 99383 | 250 | 245 | $271.40 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3,325 | 3,257 | $188.13 |
| 99215 | Prolong outpt/office vis | 69 | 56 | $187.23 |
| 99382 | 147 | 143 | $186.64 | |
| 90656 | 313 | 308 | $149.04 | |
| 90746 | 106 | 106 | $146.70 | |
| 90834 | Psychotherapy, 45 minutes with patient | 42 | 24 | $134.32 |
| 90647 | 166 | 160 | $85.00 | |
| 90670 | 210 | 202 | $81.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 423 | 412 | $80.88 |
| 90715 | 15 | 12 | $74.60 | |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 67 | 66 | $62.01 |
| 90633 | 141 | 137 | $45.00 | |
| 90688 | 151 | 149 | $44.60 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 36 | 34 | $40.97 |
| 90837 | Psychotherapy, 53 minutes with patient | 21 | 17 | $38.01 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 96 | 94 | $27.79 |
| 90700 | 28 | 26 | $18.00 | |
| 90707 | 13 | 12 | $9.00 | |
| 91322 | 144 | 142 | $9.00 | |
| 90716 | 13 | 12 | $9.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 34 | 31 | $8.76 |
| 81002 | 283 | 273 | $8.56 | |
| S9452 | Nutrition classes, non-physician provider, per session | 6,345 | 6,136 | $7.57 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 64 | 61 | $6.92 |
| 86580 | 27 | 26 | $3.36 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 18,286 | 16,632 | $1.68 |
| S9451 | Exercise classes, non-physician provider, per session | 5,757 | 5,587 | $0.06 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 170 | 162 | $0.02 |
| 96127 | 15 | 13 | $0.01 | |
| 1159F | 25,276 | 22,605 | $0.00 | |
| 96160 | 24 | 24 | $0.00 | |
| 90461 | 1,038 | 1,032 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 50 | 50 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 107 | 107 | $0.00 |
| 3078F | 115 | 111 | $0.00 | |
| 99188 | 148 | 147 | $0.00 | |
| 59426 | 17 | 12 | $0.00 | |
| 90832 | Psychotherapy, 30 minutes with patient | 40 | 39 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 5,442 | 5,355 | $0.00 |
| 3008F | 6,740 | 6,514 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 3,105 | 2,757 | $0.00 |
| 90632 | 18 | 18 | $0.00 | |
| 36416 | 372 | 372 | $0.00 | |
| 1000F | 292 | 265 | $0.00 | |
| 3074F | 82 | 80 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 293 | 293 | $0.00 |
| 4010F | 13 | 12 | $0.00 | |
| 90723 | 14 | 14 | $0.00 | |
| 93000 | 12 | 12 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 27 | 27 | $0.00 |
| 90480 | 32 | 30 | $0.00 | |
| 2023F | 13 | 12 | $0.00 | |
| Z1034 | 13 | 13 | $0.00 | |
| 99381 | 19 | 19 | $0.00 |