Clinic
Family Health Centers of San Diego INC
Family Health Centers of San Diego INC was paid $102.80M by Medicaid between Jan 2018 and Dec 2024, across 254 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 88% of everything it billed.
33Billing provider infoFAMILY HEALTH CENTERS OF SAN DIEGO INC
SAN DIEGO, CA 92102
SAN DIEGO, CA 92102
33aNPI1982747671assigned 02/14/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$102.80M
24GClaims869,190
24DCodes billed254
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#21 of 826
Median peer was paid$4.05M
This provider vs. median25×
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 | 68,938 | $13.74M | |
| 2019 | 82,891 | $12.39M | |
| 2020 | 140,206 | $14.57M | |
| 2021 | 160,850 | $15.48M | |
| 2022 | 121,319 | $13.14M | |
| 2023 | 163,727 | $17.61M | |
| 2024incomplete | 131,259 | $15.86M |
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 | 88% | 363,609 | 266,303 | $90.64M |
| 00003 | Internal/system code - not a standard HCPCS code | 11% | 38,978 | 28,100 | $11.60M |
| 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% | 45,285 | 42,780 | $108K |
| 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% | 2,020 | 1,743 | $80K |
| 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% | 63,410 | 58,546 | $53K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 3,850 | 3,292 | $41K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 2,358 | 1,742 | $27K |
| 96156 | <1% | 1,822 | 1,533 | $27K | |
| 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% | 148 | 121 | $26K |
| 0013A | <1% | 413 | 408 | $26K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 988 | 897 | $20K |
| 0134A | <1% | 264 | 264 | $16K |
242 more codes
| 98940 | <1% | 1,719 | $16K | |
| 0002A | <1% | 200 | $13K | |
| 0001A | <1% | 203 | $13K | |
| 0124A | <1% | 182 | $11K | |
| 93000 | <1% | 6,607 | $10K | |
| 98960 | <1% | 1,797 | $8K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 7,777 | $6K |
| 0012A | <1% | 93 | $6K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 673 | $6K |
| 0004A | <1% | 73 | $4K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 350 | $4K |
| 0011A | <1% | 49 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12,298 | $3K |
| G9920 | Screening performed and negative | <1% | 423 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 876 | $3K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 163 | $3K |
| 92250 | <1% | 3,530 | $3K | |
| 90480 | <1% | 414 | $3K | |
| 99401 | <1% | 744 | $2K | |
| 90674 | <1% | 709 | $2K | |
| 90686 | <1% | 5,322 | $1K | |
| 0003A | <1% | 16 | $938.00 | |
| 80053 | Comprehensive metabolic panel | <1% | 5,229 | $827.37 |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,136 | $769.50 |
| 80061 | Lipid panel | <1% | 5,322 | $611.26 |
| 0073A | <1% | 13 | $603.00 | |
| 98942 | <1% | 68 | $585.72 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 123 | $554.14 |
| 97803 | <1% | 6,171 | $546.65 | |
| 0111A | <1% | 14 | $536.00 | |
| 11721 | <1% | 53 | $519.59 | |
| 97139 | <1% | 21 | $359.01 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,027 | $327.66 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17,319 | $308.87 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,593 | $153.45 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 273 | $119.80 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,919 | $101.18 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 4,227 | $29.37 |
| 90756 | <1% | 2,108 | $20.00 | |
| 81002 | <1% | 7,505 | $4.30 | |
| 81025 | <1% | 6,060 | $2.80 | |
| 99385 | 0% | 507 | $0.00 | |
| 2023F | 0% | 1,628 | $0.00 | |
| 86140 | 0% | 993 | $0.00 | |
| 90680 | 0% | 1,250 | $0.00 | |
| Z1034 | 0% | 9,169 | $0.00 | |
| 85018 | 0% | 3,420 | $0.00 | |
| 82951 | 0% | 674 | $0.00 | |
| Z6406 | 0% | 1,248 | $0.00 | |
| Z1032 | 0% | 475 | $0.00 | |
| 99000 | 0% | 5,275 | $0.00 | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 0% | 152 | $0.00 |
| 99462 | 0% | 3,741 | $0.00 | |
| 96127 | 0% | 3,602 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 916 | $0.00 |
| Z6204 | 0% | 1,798 | $0.00 | |
| 86580 | 0% | 2,054 | $0.00 | |
| 99402 | 0% | 431 | $0.00 | |
| 90698 | 0% | 1,170 | $0.00 | |
| 99460 | 0% | 5,065 | $0.00 | |
| 90744 | 0% | 899 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 2,687 | $0.00 |
| 99232 | Hospital visit by a doctor, follow-up day | 0% | 424 | $0.00 |
| 87081 | 0% | 401 | $0.00 | |
| 82728 | 0% | 358 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 3,387 | $0.00 |
| 99381 | 0% | 339 | $0.00 | |
| Z6402 | 0% | 1,338 | $0.00 | |
| 90696 | 0% | 367 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 990 | $0.00 |
| 81015 | 0% | 1,754 | $0.00 | |
| 90651 | 0% | 1,835 | $0.00 | |
| 86704 | 0% | 893 | $0.00 | |
| 90739 | 0% | 178 | $0.00 | |
| 86706 | 0% | 993 | $0.00 | |
| 87070 | 0% | 273 | $0.00 | |
| Z6410 | 0% | 1,727 | $0.00 | |
| 99406 | 0% | 569 | $0.00 | |
| 90677 | 0% | 798 | $0.00 | |
| 87428 | 0% | 895 | $0.00 | |
| 99283 | Emergency room visit (moderate) | 0% | 767 | $0.00 |
| 92551 | 0% | 5,968 | $0.00 | |
| 97802 | 0% | 1,875 | $0.00 | |
| 90381 | 0% | 66 | $0.00 | |
| 86592 | 0% | 2,640 | $0.00 | |
| 85651 | 0% | 985 | $0.00 | |
| 86803 | 0% | 1,490 | $0.00 | |
| 82043 | 0% | 606 | $0.00 | |
| 90619 | 0% | 535 | $0.00 | |
| 83550 | 0% | 364 | $0.00 | |
| 94760 | 0% | 1,365 | $0.00 | |
| 99386 | 0% | 92 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 1,776 | $0.00 |
| 90697 | 0% | 822 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,347 | $0.00 |
| 36416 | 0% | 157 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 413 | $0.00 |
| 11055 | 0% | 49 | $0.00 | |
| X4304 | 0% | 2,677 | $0.00 | |
| 99459 | 0% | 234 | $0.00 | |
| 99463 | 0% | 67 | $0.00 | |
| 90656 | 0% | 225 | $0.00 | |
| 3072F | 0% | 126 | $0.00 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 181 | $0.00 |
| 92002 | 0% | 13 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 13 | $0.00 |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | 0% | 40 | $0.00 |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 0% | 344 | $0.00 |
| 99383 | 0% | 58 | $0.00 | |
| 87340 | 0% | 217 | $0.00 | |
| 99441 | 0% | 100 | $0.00 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 0% | 25 | $0.00 |
| 90688 | 0% | 185 | $0.00 | |
| 90694 | 0% | 54 | $0.00 | |
| 58100 | 0% | 15 | $0.00 | |
| 85027 | 0% | 293 | $0.00 | |
| 96112 | 0% | 120 | $0.00 | |
| 81001 | 0% | 233 | $0.00 | |
| 90716 | 0% | 41 | $0.00 | |
| 99070 | 0% | 48 | $0.00 | |
| Z1038 | 0% | 68 | $0.00 | |
| X3924 | 0% | 57 | $0.00 | |
| 90732 | 0% | 39 | $0.00 | |
| 86769 | 0% | 68 | $0.00 | |
| Z6404 | 0% | 34 | $0.00 | |
| 99234 | 0% | 174 | $0.00 | |
| X4102 | 0% | 28 | $0.00 | |
| X3908 | 0% | 24 | $0.00 | |
| X4100 | 0% | 28 | $0.00 | |
| 3074F | 0% | 75 | $0.00 | |
| 3008F | 0% | 71 | $0.00 | |
| 80050 | General health panel | 0% | 14 | $0.00 |
| 93922 | 0% | 97 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 12 | $0.00 |
| 99384 | 0% | 18 | $0.00 | |
| 91301 | 0% | 15 | $0.00 | |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 14 | $0.00 |
| 96161 | 0% | 42 | $0.00 | |
| 99417 | Prolong home eval add 15m | 0% | 28 | $0.00 |
| Z6302 | 0% | 156 | $0.00 | |
| X3904 | 0% | 1,209 | $0.00 | |
| Z6304 | 0% | 6,394 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 2,319 | $0.00 |
| Z6300 | 0% | 1,987 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 518 | $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% | 5,018 | $0.00 |
| 90633 | 0% | 1,529 | $0.00 | |
| Z6200 | 0% | 820 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 11,078 | $0.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 4,121 | $0.00 |
| 2028F | 0% | 1,650 | $0.00 | |
| 59025 | Fetal non-stress test | 0% | 427 | $0.00 |
| 92341 | 0% | 1,640 | $0.00 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 0% | 4,803 | $0.00 |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 3,827 | $0.00 |
| 86480 | 0% | 1,728 | $0.00 | |
| 81003 | 0% | 1,263 | $0.00 | |
| 90710 | 0% | 1,212 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 3,222 | $0.00 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 242 | $0.00 |
| 99173 | 0% | 5,378 | $0.00 | |
| 90670 | 0% | 1,903 | $0.00 | |
| 90700 | 0% | 357 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 2,891 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 1,602 | $0.00 |
| Z6208 | 0% | 105 | $0.00 | |
| 90715 | 0% | 1,750 | $0.00 | |
| 99404 | 0% | 923 | $0.00 | |
| Z6400 | 0% | 11,930 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 3,389 | $0.00 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 351 | $0.00 |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 0% | 75 | $0.00 |
| V2020 | Frames, purchases | 0% | 6,727 | $0.00 |
| X4110 | 0% | 1,901 | $0.00 | |
| 87210 | 0% | 2,180 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 1,987 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 5,065 | $0.00 |
| 99221 | 0% | 2,082 | $0.00 | |
| 90750 | 0% | 528 | $0.00 | |
| 90681 | 0% | 285 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 1,751 | $0.00 |
| 84460 | 0% | 1,009 | $0.00 | |
| 96160 | 0% | 3,103 | $0.00 | |
| 99442 | 0% | 79 | $0.00 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 0% | 1,498 | $0.00 |
| Z6414 | 0% | 2,150 | $0.00 | |
| 99222 | Initial hospital care, per day, moderate complexity | 0% | 931 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 2,647 | $0.00 |
| 2022F | 0% | 275 | $0.00 | |
| Z6308 | 0% | 841 | $0.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 781 | $0.00 |
| 82570 | 0% | 796 | $0.00 | |
| 90461 | 0% | 2,914 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 112 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 2,627 | $0.00 |
| 90734 | 0% | 532 | $0.00 | |
| 80354 | 0% | 153 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 440 | $0.00 |
| 92553 | 0% | 215 | $0.00 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 2,967 | $0.00 |
| 84450 | 0% | 1,011 | $0.00 | |
| 91313 | 0% | 99 | $0.00 | |
| 91322 | 0% | 96 | $0.00 | |
| 91321 | 0% | 293 | $0.00 | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 0% | 210 | $0.00 |
| 83540 | 0% | 401 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 29 | $0.00 |
| 99382 | 0% | 18 | $0.00 | |
| 84439 | 0% | 63 | $0.00 | |
| 91312 | 0% | 45 | $0.00 | |
| 82947 | 0% | 406 | $0.00 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 0% | 336 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 680 | $0.00 |
| A4267 | Contraceptive supply, condom, male, each | 0% | 210 | $0.00 |
| X4301 | 0% | 24 | $0.00 | |
| 84156 | 0% | 25 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 175 | $0.00 |
| 99201 | 0% | 247 | $0.00 | |
| 90380 | 0% | 55 | $0.00 | |
| 92134 | 0% | 299 | $0.00 | |
| 99188 | 0% | 61 | $0.00 | |
| 96113 | 0% | 17 | $0.00 | |
| 90648 | 0% | 156 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 25 | $0.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 51 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 62 | $0.00 |
| 90661 | 0% | 606 | $0.00 | |
| 90653 | 0% | 24 | $0.00 | |
| 82465 | 0% | 12 | $0.00 | |
| Z6500 | 0% | 30 | $0.00 | |
| 90707 | 0% | 35 | $0.00 | |
| S5199 | Personal care item, nos, each | 0% | 12 | $0.00 |
| 90713 | 0% | 12 | $0.00 | |
| 90473 | 0% | 30 | $0.00 | |
| 83718 | 0% | 12 | $0.00 | |
| 0110T | 0% | 14 | $0.00 | |
| 17110 | 0% | 12 | $0.00 | |
| 84550 | 0% | 40 | $0.00 | |
| 3078F | 0% | 73 | $0.00 | |
| L3260 | Surgical boot/shoe, each | 0% | 12 | $0.00 |
| 82565 | 0% | 15 | $0.00 | |
| 82274 | 0% | 15 | $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.