Medicaid Provider Spending

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

FAMILY HEALTH CENTERS OF SAN DIEGO INC

NPI: 1952729303 · SAN DIEGO, CA 92101 · Federally Qualified Health Center (FQHC) · NPI assigned 04/02/2014

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

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

$19.92M
Total Medicaid Paid
183,758
Total Claims
165,984
Beneficiaries
132
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROMAN, RICARDO (CFO)
Parent OrganizationFAMILY HEALTH CENTERS OF SAN DIEGO
NPI Enumeration Date04/02/2014

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 $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 $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 13,003 $1.34M
2019 11,684 $1.31M
2020 39,449 $4.90M
2021 45,415 $5.69M
2022 17,496 $1.01M
2023 21,160 $1.70M
2024 35,551 $3.98M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 75,769 63,147 $19.54M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,085 23,627 $177K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11,529 10,816 $52K
90834 Psychotherapy, 45 minutes with patient 2,669 2,217 $30K
J3490 Unclassified drugs 600 446 $28K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 24 24 $20K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,479 1,475 $13K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,468 1,464 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 472 472 $10K
99401 506 493 $9K
99402 161 160 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 720 720 $4K
81025 2,089 2,060 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,512 9,843 $3K
90791 Psychiatric diagnostic evaluation 739 735 $3K
A4267 Contraceptive supply, condom, male, each 828 803 $3K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,920 1,918 $2K
S5199 Personal care item, nos, each 733 712 $2K
S4993 Contraceptive pills for birth control 140 139 $1K
90832 Psychotherapy, 30 minutes with patient 130 118 $1K
11721 138 138 $884.66
86592 1,371 1,367 $676.79
98960 76 62 $624.00
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 76 61 $474.33
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 12 12 $390.48
87210 152 151 $209.34
84443 Thyroid stimulating hormone (TSH) 893 890 $189.93
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 19 12 $168.72
99406 219 211 $140.00
80053 Comprehensive metabolic panel 1,378 1,373 $137.85
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 33 32 $119.65
81001 89 87 $110.84
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,994 1,985 $93.52
90480 28 28 $40.00
97803 712 708 $26.11
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 281 280 $0.00
80061 Lipid panel 1,512 1,506 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 374 360 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,023 1,006 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 311 299 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 185 184 $0.00
90715 468 468 $0.00
90633 343 342 $0.00
99404 311 311 $0.00
86708 403 403 $0.00
96160 501 500 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 185 185 $0.00
T1013 Sign language or oral interpretive services, per 15 minutes 1,732 1,590 $0.00
86480 1,342 1,340 $0.00
2028F 394 391 $0.00
90472 Immunization administration, each additional vaccine (list separately) 1,011 1,008 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 245 245 $0.00
92134 18 18 $0.00
99173 2,425 2,420 $0.00
90713 453 453 $0.00
86682 49 46 $0.00
90714 15 15 $0.00
83540 27 27 $0.00
90756 226 226 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 255 254 $0.00
90707 33 33 $0.00
82947 543 542 $0.00
82465 89 89 $0.00
81003 232 228 $0.00
90700 47 47 $0.00
99201 72 72 $0.00
99382 112 112 $0.00
92015 Determination of refractive state 106 106 $0.00
69209 12 12 $0.00
90710 33 33 $0.00
H1003 Prenatal care, at-risk enhanced service; education 49 45 $0.00
90670 70 70 $0.00
83721 58 58 $0.00
90734 55 55 $0.00
90750 44 44 $0.00
90461 213 210 $0.00
81002 15 13 $0.00
59425 17 15 $0.00
90746 26 26 $0.00
90661 146 146 $0.00
80076 40 40 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 12 12 $0.00
91321 12 12 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 14 $0.00
99385 530 530 $0.00
36415 Collection of venous blood by venipuncture 2,204 2,158 $0.00
86803 1,519 1,519 $0.00
90651 445 445 $0.00
81015 72 71 $0.00
90632 40 40 $0.00
90732 12 12 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,027 2,994 $0.00
96127 1,416 1,275 $0.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 90 90 $0.00
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 16 14 $0.00
86704 1,379 1,379 $0.00
92551 1,544 1,542 $0.00
90686 500 500 $0.00
97802 429 429 $0.00
85018 204 204 $0.00
99000 2,243 2,195 $0.00
83550 26 26 $0.00
90716 262 262 $0.00
99383 378 378 $0.00
86706 1,476 1,476 $0.00
99384 144 144 $0.00
87086 Culture, bacterial; quantitative colony count, urine 54 53 $0.00
87340 1,294 1,294 $0.00
83036 Hemoglobin; glycosylated (A1C) 768 765 $0.00
93000 60 60 $0.00
90744 167 167 $0.00
90636 57 57 $0.00
90698 12 12 $0.00
90674 110 110 $0.00
90792 Psychiatric diagnostic evaluation with medical services 80 80 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 502 501 $0.00
87428 12 12 $0.00
99459 95 95 $0.00
90656 38 38 $0.00
92250 28 28 $0.00
94760 106 98 $0.00
90677 82 81 $0.00
80050 General health panel 28 28 $0.00
90619 103 103 $0.00
90688 24 24 $0.00
82728 14 14 $0.00
90739 166 166 $0.00
90696 36 36 $0.00
90697 12 12 $0.00
99386 12 12 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 12 $0.00
86580 27 26 $0.00