Medicaid Provider Spending

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

FAMILY HEALTH CENTERS OF SAN DIEGO, INC.

NPI: 1932561198 · EL CAJON, CA 92020 · Federally Qualified Health Center (FQHC) · NPI assigned 03/25/2016

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

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

$97.05M
Total Medicaid Paid
1,070,895
Total Claims
904,840
Beneficiaries
269
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROMAN, RICARDO (CFO)
NPI Enumeration Date03/25/2016

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 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 $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 56,847 $8.34M
2019 88,068 $9.27M
2020 146,806 $9.32M
2021 187,219 $15.21M
2022 163,815 $14.39M
2023 226,929 $19.95M
2024 201,211 $20.57M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 415,111 302,028 $84.21M
00003 Internal/system code - not a standard HCPCS code 42,332 30,686 $11.90M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 63,755 59,641 $114K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12,200 12,175 $87K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 93,686 84,724 $76K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,898 3,348 $69K
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 2,161 1,864 $54K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 8,185 5,915 $53K
V2020 Frames, purchases 11,701 11,684 $47K
90834 Psychotherapy, 45 minutes with patient 7,054 6,289 $44K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 6,170 6,150 $40K
92340 Fitting of spectacles, except for aphakia; monofocal 7,980 7,969 $31K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 21,446 20,497 $25K
0004A 365 365 $24K
92015 Determination of refractive state 17,733 17,695 $23K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,798 1,066 $20K
0001A 301 292 $19K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,262 1,165 $19K
0002A 283 278 $18K
0124A 232 221 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,574 3,571 $13K
93000 5,904 5,854 $12K
90791 Psychiatric diagnostic evaluation 2,124 2,106 $12K
0013A 175 175 $12K
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 170 132 $10K
98940 2,154 1,643 $9K
92341 1,866 1,865 $8K
H1001 Prenatal care, at-risk enhanced service; antepartum management 126 104 $8K
0071A 94 91 $6K
0072A 85 85 $6K
97161 108 107 $4K
92250 6,508 6,506 $4K
0154A 125 125 $4K
G9920 Screening performed and negative 1,215 1,206 $3K
96156 167 154 $3K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 2,003 1,826 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,292 1,290 $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 50 45 $3K
J3490 Unclassified drugs 158 150 $3K
90832 Psychotherapy, 30 minutes with patient 3,794 3,588 $3K
99401 717 710 $3K
90480 713 712 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,935 3,888 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,928 3,882 $2K
H1003 Prenatal care, at-risk enhanced service; education 210 179 $2K
90792 Psychiatric diagnostic evaluation with medical services 1,283 1,283 $2K
0173A 73 71 $2K
81025 8,354 8,116 $2K
97803 4,114 4,093 $2K
0012A 28 28 $2K
0081A 54 54 $2K
98960 1,201 1,113 $1K
90651 2,256 2,256 $981.08
0134A 14 14 $938.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 3,314 3,301 $799.24
58300 16 12 $489.04
11721 326 326 $487.54
99402 118 116 $413.27
80061 Lipid panel 6,380 6,378 $336.13
80053 Comprehensive metabolic panel 6,755 6,737 $328.81
86592 2,946 2,926 $292.90
83036 Hemoglobin; glycosylated (A1C) 5,706 5,696 $247.92
90686 6,186 6,185 $220.46
81002 9,406 6,982 $213.68
86480 2,047 2,046 $209.24
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7,574 7,528 $129.47
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,999 1,942 $119.24
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 151 148 $117.74
84443 Thyroid stimulating hormone (TSH) 6,185 6,178 $100.38
86803 2,271 2,269 $97.08
A4267 Contraceptive supply, condom, male, each 83 82 $44.91
81003 2,860 2,824 $43.82
87210 2,291 2,279 $37.03
58301 13 12 $37.02
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,578 4,499 $34.69
J0696 Injection, ceftriaxone sodium, per 250 mg 133 129 $21.80
86704 1,189 1,189 $21.66
81015 3,111 3,060 $20.38
86706 1,576 1,576 $19.02
87340 705 705 $18.24
36415 Collection of venous blood by venipuncture 5,557 5,284 $15.00
80048 Basic metabolic panel (calcium, ionized) 1,059 1,054 $14.03
99000 8,716 8,540 $10.89
82043 704 704 $5.08
96127 3,692 3,511 $4.81
82570 946 942 $4.69
99173 4,627 4,614 $2.34
X3904 15,432 7,840 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,508 2,503 $0.00
90710 791 791 $0.00
2028F 1,680 1,660 $0.00
90670 2,768 2,768 $0.00
84439 264 263 $0.00
90648 530 530 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,898 1,882 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,998 2,954 $0.00
90461 3,624 3,619 $0.00
83540 711 708 $0.00
90707 722 722 $0.00
99404 479 476 $0.00
90756 2,011 2,011 $0.00
90713 490 490 $0.00
84450 625 623 $0.00
T1013 Sign language or oral interpretive services, per 15 minutes 11,872 10,596 $0.00
90750 230 230 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 5,985 5,968 $0.00
91322 139 138 $0.00
80354 228 224 $0.00
Z6200 633 632 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,386 5,384 $0.00
91312 70 70 $0.00
X4110 224 101 $0.00
85610 130 122 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,677 3,676 $0.00
Z6400 3,603 2,996 $0.00
90715 2,092 2,090 $0.00
82947 872 862 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,418 2,396 $0.00
96160 2,910 2,896 $0.00
92134 959 958 $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 2,951 2,919 $0.00
2022F 198 198 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,167 1,164 $0.00
90700 1,083 1,083 $0.00
90472 Immunization administration, each additional vaccine (list separately) 2,663 2,662 $0.00
90633 2,727 2,675 $0.00
59425 70 64 $0.00
82565 29 29 $0.00
90785 441 434 $0.00
Z6308 39 37 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 176 176 $0.00
90734 487 487 $0.00
20611 26 14 $0.00
Z6304 1,024 1,000 $0.00
90837 Psychotherapy, 53 minutes with patient 507 476 $0.00
91321 517 517 $0.00
82248 65 49 $0.00
69209 299 291 $0.00
91308 47 47 $0.00
90681 499 498 $0.00
99201 200 200 $0.00
Z6300 530 530 $0.00
84460 608 606 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 458 447 $0.00
99442 210 205 $0.00
Z6500 70 70 $0.00
Z6414 51 50 $0.00
84156 69 66 $0.00
90687 54 54 $0.00
99215 Prolong outpt/office vis 134 134 $0.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 17 17 $0.00
82247 65 49 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 296 285 $0.00
80076 12 12 $0.00
Z6208 30 28 $0.00
92553 448 443 $0.00
90658 41 41 $0.00
97164 168 164 $0.00
90380 61 61 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 322 322 $0.00
L1812 Knee orthosis, elastic with joints, prefabricated, off-the-shelf 56 56 $0.00
82274 32 32 $0.00
90685 23 23 $0.00
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 41 39 $0.00
L1820 Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 45 45 $0.00
90661 349 348 $0.00
90653 29 29 $0.00
90714 41 41 $0.00
90746 30 30 $0.00
59025 Fetal non-stress test 29 24 $0.00
84550 101 101 $0.00
99188 58 58 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 270 267 $0.00
10060 12 12 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 30 29 $0.00
90473 36 36 $0.00
3078F 112 112 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 18 18 $0.00
85007 25 25 $0.00
Z1034 11,593 8,602 $0.00
90680 1,883 1,883 $0.00
86140 304 301 $0.00
Z6406 887 837 $0.00
Z6410 985 966 $0.00
85651 794 789 $0.00
83550 639 636 $0.00
90674 539 539 $0.00
99381 1,021 1,016 $0.00
Z1038 712 710 $0.00
36416 146 127 $0.00
90619 622 622 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14,400 14,338 $0.00
X3924 6,732 5,770 $0.00
90696 553 553 $0.00
82951 1,365 1,358 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 485 480 $0.00
90698 1,516 1,516 $0.00
Z6204 1,320 1,257 $0.00
87081 725 723 $0.00
85018 4,564 4,537 $0.00
90716 971 971 $0.00
82728 603 602 $0.00
Z6402 763 762 $0.00
97802 1,165 1,164 $0.00
87070 1,474 1,460 $0.00
L1810 Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 16 16 $0.00
87086 Culture, bacterial; quantitative colony count, urine 2,757 2,715 $0.00
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 72 72 $0.00
90677 1,119 1,118 $0.00
81001 309 303 $0.00
91315 65 65 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,491 1,454 $0.00
94760 1,114 1,045 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 199 199 $0.00
99070 182 180 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,167 1,163 $0.00
Z1032 1,186 1,174 $0.00
91317 61 61 $0.00
99406 808 789 $0.00
X3908 2,018 1,445 $0.00
92551 7,616 7,581 $0.00
90744 1,464 1,464 $0.00
3074F 113 113 $0.00
20610 1,971 1,826 $0.00
90381 58 58 $0.00
2023F 1,141 1,138 $0.00
X3906 167 163 $0.00
90688 179 179 $0.00
X4304 137 67 $0.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 54 44 $0.00
92002 106 106 $0.00
97162 277 275 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 14 14 $0.00
99459 325 324 $0.00
90739 106 106 $0.00
99441 227 220 $0.00
X3910 138 108 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 124 117 $0.00
80050 General health panel 60 60 $0.00
99385 39 39 $0.00
90697 1,427 1,426 $0.00
87428 3,082 3,049 $0.00
99443 12 12 $0.00
3008F 114 114 $0.00
90732 82 82 $0.00
90656 672 672 $0.00
3072F 113 113 $0.00
11055 13 12 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 60 56 $0.00
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 49 49 $0.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 111 111 $0.00
4000F 57 57 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 183 181 $0.00
91301 19 19 $0.00
X3902 79 50 $0.00
90694 143 142 $0.00
0011A 19 19 $0.00
99383 12 12 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 69 67 $0.00
83690 67 67 $0.00
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 29 29 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 16 15 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 28 28 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 38 36 $0.00
A9300 Exercise equipment 12 12 $0.00
90723 21 21 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 15 14 $0.00
H0001 Alcohol and/or drug assessment 27 14 $0.00
96161 85 85 $0.00