Medicaid Provider Spending

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

FAMILY HEALTH CENTERS OF SAN DIEGO INC

NPI: 1982747671 · SAN DIEGO, CA 92102 · Federally Qualified Health Center (FQHC) · NPI assigned 02/14/2007

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

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

$102.80M
Total Medicaid Paid
869,190
Total Claims
736,516
Beneficiaries
254
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROMAN, RICARDO (CFO)
NPI Enumeration Date02/14/2007

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. 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 $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 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
2024 131,259 $15.86M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 363,609 266,303 $90.64M
00003 Internal/system code - not a standard HCPCS code 38,978 28,100 $11.60M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 45,285 42,780 $108K
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 2,020 1,743 $80K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 63,410 58,546 $53K
90834 Psychotherapy, 45 minutes with patient 3,850 3,292 $41K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 2,358 1,742 $27K
96156 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 148 121 $26K
0013A 413 408 $26K
H1003 Prenatal care, at-risk enhanced service; education 988 897 $20K
0134A 264 264 $16K
98940 1,719 1,334 $16K
0002A 200 192 $13K
0001A 203 198 $13K
0124A 182 166 $11K
93000 6,607 6,574 $10K
98960 1,797 1,579 $8K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 7,777 7,772 $6K
0012A 93 90 $6K
90791 Psychiatric diagnostic evaluation 673 672 $6K
0004A 73 73 $4K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 350 338 $4K
0011A 49 48 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12,298 12,224 $3K
G9920 Screening performed and negative 423 423 $3K
90792 Psychiatric diagnostic evaluation with medical services 876 873 $3K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 163 117 $3K
92250 3,530 3,528 $3K
90480 414 414 $3K
99401 744 735 $2K
90674 709 709 $2K
90686 5,322 5,320 $1K
0003A 16 14 $938.00
80053 Comprehensive metabolic panel 5,229 5,220 $827.37
36415 Collection of venous blood by venipuncture 6,136 5,987 $769.50
80061 Lipid panel 5,322 5,319 $611.26
0073A 13 13 $603.00
98942 68 55 $585.72
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 123 121 $554.14
97803 6,171 6,134 $546.65
0111A 14 14 $536.00
11721 53 53 $519.59
97139 21 13 $359.01
90832 Psychotherapy, 30 minutes with patient 1,027 947 $327.66
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 17,319 16,527 $308.87
83036 Hemoglobin; glycosylated (A1C) 4,593 4,588 $153.45
96110 Developmental screening, with scoring and documentation, per standardized instrument 273 271 $119.80
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,919 4,896 $101.18
84443 Thyroid stimulating hormone (TSH) 4,227 4,218 $29.37
90756 2,108 2,107 $20.00
81002 7,505 5,893 $4.30
81025 6,060 5,885 $2.80
99385 507 507 $0.00
2023F 1,628 1,627 $0.00
86140 993 989 $0.00
90680 1,250 1,250 $0.00
Z1034 9,169 7,337 $0.00
85018 3,420 3,413 $0.00
82951 674 673 $0.00
Z6406 1,248 1,199 $0.00
Z1032 475 474 $0.00
99000 5,275 5,157 $0.00
99282 Emergency department visit for the evaluation and management, low to moderate severity 152 148 $0.00
99462 3,741 3,023 $0.00
96127 3,602 3,518 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 916 886 $0.00
Z6204 1,798 1,752 $0.00
86580 2,054 2,045 $0.00
99402 431 428 $0.00
90698 1,170 1,170 $0.00
99460 5,065 5,019 $0.00
90744 899 899 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2,687 2,683 $0.00
99232 Subsequent hospital care, per day, moderate complexity 424 254 $0.00
87081 401 401 $0.00
82728 358 356 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,387 3,364 $0.00
99381 339 339 $0.00
Z6402 1,338 1,338 $0.00
90696 367 367 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 990 988 $0.00
81015 1,754 1,734 $0.00
90651 1,835 1,835 $0.00
86704 893 892 $0.00
90739 178 178 $0.00
86706 993 991 $0.00
87070 273 273 $0.00
Z6410 1,727 1,702 $0.00
99406 569 556 $0.00
90677 798 798 $0.00
87428 895 890 $0.00
99283 Emergency department visit for the evaluation and management, moderate severity 767 722 $0.00
92551 5,968 5,956 $0.00
97802 1,875 1,874 $0.00
90381 66 66 $0.00
86592 2,640 2,632 $0.00
85651 985 983 $0.00
86803 1,490 1,489 $0.00
82043 606 605 $0.00
90619 535 535 $0.00
83550 364 362 $0.00
94760 1,365 1,331 $0.00
99386 92 92 $0.00
87086 Culture, bacterial; quantitative colony count, urine 1,776 1,757 $0.00
90697 822 822 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,347 1,333 $0.00
36416 157 156 $0.00
80048 Basic metabolic panel (calcium, ionized) 413 411 $0.00
11055 49 39 $0.00
X4304 2,677 1,158 $0.00
99459 234 233 $0.00
99463 67 67 $0.00
90656 225 225 $0.00
3072F 126 126 $0.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 181 181 $0.00
92002 13 13 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 13 13 $0.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 40 38 $0.00
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 344 153 $0.00
99383 58 58 $0.00
87340 217 217 $0.00
99441 100 98 $0.00
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 25 25 $0.00
90688 185 185 $0.00
90694 54 54 $0.00
58100 15 15 $0.00
85027 293 293 $0.00
96112 120 111 $0.00
81001 233 231 $0.00
90716 41 41 $0.00
99070 48 48 $0.00
Z1038 68 68 $0.00
X3924 57 50 $0.00
90732 39 39 $0.00
86769 68 68 $0.00
Z6404 34 31 $0.00
99234 174 165 $0.00
X4102 28 28 $0.00
X3908 24 15 $0.00
X4100 28 28 $0.00
3074F 75 75 $0.00
3008F 71 70 $0.00
80050 General health panel 14 14 $0.00
93922 97 97 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12 12 $0.00
99384 18 18 $0.00
91301 15 15 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 14 14 $0.00
96161 42 42 $0.00
99417 Prolong home eval add 15m 28 20 $0.00
Z6302 156 156 $0.00
X3904 1,209 622 $0.00
Z6304 6,394 5,641 $0.00
90472 Immunization administration, each additional vaccine (list separately) 2,319 2,316 $0.00
Z6300 1,987 1,987 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 518 518 $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 5,018 4,922 $0.00
90633 1,529 1,492 $0.00
Z6200 820 820 $0.00
92015 Determination of refractive state 11,078 11,077 $0.00
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 4,121 4,117 $0.00
2028F 1,650 1,603 $0.00
59025 Fetal non-stress test 427 344 $0.00
92341 1,640 1,640 $0.00
92340 Fitting of spectacles, except for aphakia; monofocal 4,803 4,801 $0.00
99238 Hospital discharge day management, 30 minutes or less 3,827 3,618 $0.00
86480 1,728 1,727 $0.00
81003 1,263 1,251 $0.00
90710 1,212 1,212 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,222 3,219 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 242 240 $0.00
99173 5,378 5,371 $0.00
90670 1,903 1,903 $0.00
90700 357 357 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,891 2,847 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,602 1,599 $0.00
Z6208 105 102 $0.00
90715 1,750 1,748 $0.00
99404 923 920 $0.00
Z6400 11,930 10,126 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,389 3,365 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 351 350 $0.00
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 75 53 $0.00
V2020 Frames, purchases 6,727 6,725 $0.00
X4110 1,901 921 $0.00
87210 2,180 2,172 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,987 1,987 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 5,065 5,042 $0.00
99221 2,082 1,931 $0.00
90750 528 528 $0.00
90681 285 285 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,751 1,734 $0.00
84460 1,009 1,008 $0.00
96160 3,103 3,084 $0.00
99442 79 78 $0.00
99231 Subsequent hospital care, per day, straightforward or low complexity 1,498 1,134 $0.00
Z6414 2,150 1,656 $0.00
99222 Initial hospital care, per day, moderate complexity 931 889 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,647 2,627 $0.00
2022F 275 273 $0.00
Z6308 841 781 $0.00
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 781 696 $0.00
82570 796 794 $0.00
90461 2,914 2,913 $0.00
99215 Prolong outpt/office vis 112 98 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,627 2,626 $0.00
90734 532 532 $0.00
80354 153 152 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 440 440 $0.00
92553 215 215 $0.00
T1013 Sign language or oral interpretive services, per 15 minutes 2,967 2,741 $0.00
84450 1,011 1,010 $0.00
91313 99 99 $0.00
91322 96 96 $0.00
91321 293 293 $0.00
97530 Therapeutic activities, direct patient contact, each 15 minutes 210 118 $0.00
83540 401 398 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 29 29 $0.00
99382 18 18 $0.00
84439 63 63 $0.00
91312 45 45 $0.00
82947 406 402 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 336 332 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 680 678 $0.00
A4267 Contraceptive supply, condom, male, each 210 209 $0.00
X4301 24 24 $0.00
84156 25 25 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 175 174 $0.00
99201 247 247 $0.00
90380 55 55 $0.00
92134 299 299 $0.00
99188 61 61 $0.00
96113 17 17 $0.00
90648 156 156 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 25 25 $0.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 51 51 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 62 62 $0.00
90661 606 605 $0.00
90653 24 24 $0.00
82465 12 12 $0.00
Z6500 30 30 $0.00
90707 35 35 $0.00
S5199 Personal care item, nos, each 12 12 $0.00
90713 12 12 $0.00
90473 30 30 $0.00
83718 12 12 $0.00
0110T 14 13 $0.00
17110 12 12 $0.00
84550 40 40 $0.00
3078F 73 72 $0.00
L3260 Surgical boot/shoe, each 12 12 $0.00
82565 15 15 $0.00
82274 15 15 $0.00