Is FAMILY HEALTH CENTERS OF SAN DIEGO INC flagged for Medicaid fraud?

FAMILY HEALTH CENTERS OF SAN DIEGO INC (NPI: 1629456900) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does FAMILY HEALTH CENTERS OF SAN DIEGO INC bill Medicaid?

FAMILY HEALTH CENTERS OF SAN DIEGO INC received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Federally Qualified Health Center (FQHC) provider. Located in SAN DIEGO, CA.

What is NPI 1629456900?

NPI 1629456900 is the National Provider Identifier for FAMILY HEALTH CENTERS OF SAN DIEGO INC. They are a Clinic/Center, Federally Qualified Health Center (FQHC) provider based in SAN DIEGO, CA. This NPI is registered with the CMS NPI Registry.

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FAMILY HEALTH CENTERS OF SAN DIEGO INC

Clinic/Center, Federally Qualified Health Center (FQHC)·SAN DIEGO, CA·NPI: 1629456900Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $95.3M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$95.3M

$95,313,753

Total Claims

917K

Beneficiaries

733K

1.3 claims/patient

Avg Cost/Claim

$104

Monthly Spending Trend

Yearly Spending

2018

$5.9M

+25%

2019

$7.4M

+29%

2020

$9.5M

+35%

2021

$12.8M

+41%

2022

$18.1M

+17%

2023

$21.3M

-4%

2024

$20.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 92% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1015Clinic visit/encounter, all-inclusiveSee all providers →

$88.1M

400K claims

$220.40

$121.16

1.8×

Top 25%

T1015Top 25%

Clinic visit/encounter, all-inclusive

$88.1M

400K claims · 92.4%

Your Cost: $220.40/claim|Median: $121.16

1.8× median

00003Anesthesia servicesSee all providers →

$6.0M

15K claims

$403.37

$223.77

1.8×

Top 25%

00003Top 25%

Anesthesia services

$6.0M

15K claims · 6.3%

Your Cost: $403.37/claim|Median: $223.77

1.8× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$278K

106K claims

$2.62

$37.81

0.1×

Normal range

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$278K

106K claims · 0.3%

Your Cost: $2.62/claim|Median: $37.81

0.1× median

97110Therapeutic exercises, each 15 minSee all providers →

$155K

14K claims

$11.48

$24.49

0.5×

Normal range

97110Normal range

Therapeutic exercises, each 15 min

$155K

14K claims · 0.2%

Your Cost: $11.48/claim|Median: $24.49

0.5× median

98940 See all providers →

$118K

9,739 claims

$12.10

$14.55

0.8×

Normal range

98940Normal range

$118K

9,739 claims · 0.1%

Your Cost: $12.10/claim|Median: $14.55

0.8× median

90834Psychotherapy, 45 minutesSee all providers →

$76K

12K claims

$6.16

$63.65

0.1×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$76K

12K claims · 0.1%

Your Cost: $6.16/claim|Median: $63.65

0.1× median

98941Chiropractic manipulative treatment, 3-4 spinal regionsSee all providers →

$74K

9,452 claims

$7.83

$20.83

0.4×

Normal range

98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$74K

9,452 claims · 0.1%

Your Cost: $7.83/claim|Median: $20.83

0.4× median

99203Office/outpatient visit, new patient, low-mod complexitySee all providers →

$71K

2,455 claims

$28.79

$57.85

0.5×

Normal range

99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$71K

2,455 claims · 0.1%

Your Cost: $28.79/claim|Median: $57.85

0.5× median

99212Office/outpatient visit, low complexitySee all providers →

$60K

29K claims

$2.06

$25.06

0.1×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$60K

29K claims · 0.1%

Your Cost: $2.06/claim|Median: $25.06

0.1× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$58K

76K claims

$0.77

$53.41

0.0×

Normal range

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$58K

76K claims · 0.1%

Your Cost: $0.77/claim|Median: $53.41

0.0× median

G0467Federally qualified health center visit, mental healthSee all providers →

$55K

1,480 claims

$37.09

$21.91

1.7×

Top 25%

G0467Top 25%

Federally qualified health center visit, mental health

$55K

1,480 claims · 0.1%

Your Cost: $37.09/claim|Median: $21.91

1.7× median

0134A See all providers →

$37K

635 claims

$58.74

$33.54

1.8×

Top 25%

0134ATop 25%

$37K

635 claims · 0.0%

Your Cost: $58.74/claim|Median: $33.54

1.8× median

99202Office/outpatient visit, new patient, low complexitySee all providers →

$27K

1,042 claims

$26.07

$40.11

0.6×

Normal range

99202Normal range

Office/outpatient visit, new patient, low complexity

$27K

1,042 claims · 0.0%

Your Cost: $26.07/claim|Median: $40.11

0.6× median

87591Neisseria gonorrhoeae detection, nucleic acid, amplified probeSee all providers →

$26K

7,163 claims

$3.68

$23.39

0.2×

Normal range

87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$26K

7,163 claims · 0.0%

Your Cost: $3.68/claim|Median: $23.39

0.2× median

87491Chlamydia detection, nucleic acid, amplified probeSee all providers →

$26K

7,155 claims

$3.59

$24.95

0.1×

Normal range

87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$26K

7,155 claims · 0.0%

Your Cost: $3.59/claim|Median: $24.95

0.1× median

G0470Chronic care management services, FQHC/RHCSee all providers →

$25K

328 claims

$77.39

$45.95

1.7×

Top 25%

G0470Top 25%

Chronic care management services, FQHC/RHC

$25K

328 claims · 0.0%

Your Cost: $77.39/claim|Median: $45.95

1.7× median

0013A See all providers →

$19K

401 claims

$48.32

$35.38

1.4×

Top 10%

0013ATop 10%

$19K

401 claims · 0.0%

Your Cost: $48.32/claim|Median: $35.38

1.4× median

97140Manual therapy techniques, per 15 minutesSee all providers →

$19K

2,688 claims

$7.15

$16.79

0.4×

Normal range

97140Normal range

Manual therapy techniques, per 15 minutes

$19K

2,688 claims · 0.0%

Your Cost: $7.15/claim|Median: $16.79

0.4× median

97161Physical therapy evaluation, low complexitySee all providers →

$13K

378 claims

$34.66

$47.89

0.7×

Normal range

97161Normal range

Physical therapy evaluation, low complexity

$13K

378 claims · 0.0%

Your Cost: $34.66/claim|Median: $47.89

0.7× median

87389HIV-1 antigen with HIV-1 and HIV-2 antibodiesSee all providers →

$9K

6,194 claims

$1.38

$18.03

0.1×

Normal range

87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$9K

6,194 claims · 0.0%

Your Cost: $1.38/claim|Median: $18.03

0.1× median

0012ACOVID-19 vaccine admin, Moderna, 2nd doseSee all providers →

$8K

153 claims

$51.13

$33.85

1.5×

Top 10%

0012ATop 10%

COVID-19 vaccine admin, Moderna, 2nd dose

$8K

153 claims · 0.0%

Your Cost: $51.13/claim|Median: $33.85

1.5× median

90853Group psychotherapySee all providers →

$6K

327 claims

$18.54

$25.02

0.7×

Normal range

90853Normal range

Group psychotherapy

$6K

327 claims · 0.0%

Your Cost: $18.54/claim|Median: $25.02

0.7× median

90791Psychiatric diagnostic evaluationSee all providers →

$5K

2,032 claims

$2.65

$99.21

0.0×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$5K

2,032 claims · 0.0%

Your Cost: $2.65/claim|Median: $99.21

0.0× median

0011ACOVID-19 vaccine admin, Moderna, 1st doseSee all providers →

$5K

119 claims

$42.23

$25.93

1.6×

Top 10%

0011ATop 10%

COVID-19 vaccine admin, Moderna, 1st dose

$5K

119 claims · 0.0%

Your Cost: $42.23/claim|Median: $25.93

1.6× median

G2025 See all providers →

$4K

270 claims

$16.24

$15.63

1.0×

Normal range

G2025Normal range

$4K

270 claims · 0.0%

Your Cost: $16.24/claim|Median: $15.63

1.0× median

90832Psychotherapy, 30 minutesSee all providers →

$3K

7,013 claims

$0.49

$41.28

0.0×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$3K

7,013 claims · 0.0%

Your Cost: $0.49/claim|Median: $41.28

0.0× median

G0469 See all providers →

$3K

35 claims

$77.24

$70.42

1.1×

Normal range

G0469Normal range

$3K

35 claims · 0.0%

Your Cost: $77.24/claim|Median: $70.42

1.1× median

86592 See all providers →

$2K

8,548 claims

$0.29

$3.35

0.1×

Normal range

86592Normal range

$2K

8,548 claims · 0.0%

Your Cost: $0.29/claim|Median: $3.35

0.1× median

J3490Unclassified drugsSee all providers →

$2K

38 claims

$47.57

$5.70

8.3×

Top 25%

J3490Top 25%

Unclassified drugs

$2K

38 claims · 0.0%

Your Cost: $47.57/claim|Median: $5.70

8.3× median

97162PT evaluation, moderate complexitySee all providers →

$2K

970 claims

$1.78

$46.10

0.0×

Normal range

97162Normal range

PT evaluation, moderate complexity

$2K

970 claims · 0.0%

Your Cost: $1.78/claim|Median: $46.10

0.0× median

99401 See all providers →

$1K

460 claims

$3.07

$16.53

0.2×

Normal range

99401Normal range

$1K

460 claims · 0.0%

Your Cost: $3.07/claim|Median: $16.53

0.2× median

81025Urine pregnancy testSee all providers →

$1K

1,442 claims

$0.92

$4.81

0.2×

Normal range

81025Normal range

Urine pregnancy test

$1K

1,442 claims · 0.0%

Your Cost: $0.92/claim|Median: $4.81

0.2× median

Q0144 See all providers →

$1K

165 claims

$6.23

$5.57

1.1×

Normal range

Q0144Normal range

$1K

165 claims · 0.0%

Your Cost: $6.23/claim|Median: $5.57

1.1× median

90833Psychotherapy, 30 min, add-on to E/M serviceSee all providers →

$828

25 claims

$33.11

$38.83

0.9×

Normal range

90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$828

25 claims · 0.0%

Your Cost: $33.11/claim|Median: $38.83

0.9× median

96110Developmental screening, per standardized instrumentSee all providers →

$821

30 claims

$27.36

$9.10

3.0×

Top 10%

96110Top 10%

Developmental screening, per standardized instrument

$821

30 claims · 0.0%

Your Cost: $27.36/claim|Median: $9.10

3.0× median

80053Comprehensive metabolic panelSee all providers →

$814

13K claims

$0.06

$7.24

0.0×

Normal range

80053Normal range

Comprehensive metabolic panel

$814

13K claims · 0.0%

Your Cost: $0.06/claim|Median: $7.24

0.0× median

97803Medical nutrition therapy, reassessment, group, thirty minutesSee all providers →

$798

5,668 claims

$0.14

$24.33

0.0×

Normal range

97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$798

5,668 claims · 0.0%

Your Cost: $0.14/claim|Median: $24.33

0.0× median

90471Immunization administration, 1 vaccine, percutaneous/ID/SC/IMSee all providers →

$728

10K claims

$0.07

$9.80

0.0×

Normal range

90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$728

10K claims · 0.0%

Your Cost: $0.07/claim|Median: $9.80

0.0× median

87210 See all providers →

$632

783 claims

$0.81

$3.65

0.2×

Normal range

87210Normal range

$632

783 claims · 0.0%

Your Cost: $0.81/claim|Median: $3.65

0.2× median

98960 See all providers →

$520

501 claims

$1.04

$12.74

0.1×

Normal range

98960Normal range

$520

501 claims · 0.0%

Your Cost: $1.04/claim|Median: $12.74

0.1× median

90651HPV vaccine, 9-valentSee all providers →

$491

303 claims

$1.62

$8.93

0.2×

Normal range

90651Normal range

HPV vaccine, 9-valent

$491

303 claims · 0.0%

Your Cost: $1.62/claim|Median: $8.93

0.2× median

97802Medical nutrition therapy, reassessment, individual, fifteen minutesSee all providers →

$455

1,689 claims

$0.27

$12.70

0.0×

Normal range

97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$455

1,689 claims · 0.0%

Your Cost: $0.27/claim|Median: $12.70

0.0× median

99402 See all providers →

$445

242 claims

$1.84

$31.79

0.1×

Normal range

99402Normal range

$445

242 claims · 0.0%

Your Cost: $1.84/claim|Median: $31.79

0.1× median

H1003 See all providers →

$366

56 claims

$6.54

$10.04

0.7×

Normal range

H1003Normal range

$366

56 claims · 0.0%

Your Cost: $6.54/claim|Median: $10.04

0.7× median

36415Collection of venous blood by venipunctureSee all providers →

$338

7,707 claims

$0.04

$1.57

0.0×

Normal range

36415Normal range

Collection of venous blood by venipuncture

$338

7,707 claims · 0.0%

Your Cost: $0.04/claim|Median: $1.57

0.0× median

96156 See all providers →

$336

95 claims

$3.54

$22.36

0.2×

Normal range

96156Normal range

$336

95 claims · 0.0%

Your Cost: $3.54/claim|Median: $22.36

0.2× median

80061Lipid panelSee all providers →

$300

6,810 claims

$0.04

$8.41

0.0×

Normal range

80061Normal range

Lipid panel

$300

6,810 claims · 0.0%

Your Cost: $0.04/claim|Median: $8.41

0.0× median

90674 See all providers →

$260

1,291 claims

$0.20

$15.16

0.0×

Normal range

90674Normal range

$260

1,291 claims · 0.0%

Your Cost: $0.20/claim|Median: $15.16

0.0× median

J0696 See all providers →

$249

244 claims

$1.02

$1.34

0.8×

Normal range

J0696Normal range

$249

244 claims · 0.0%

Your Cost: $1.02/claim|Median: $1.34

0.8× median

A4267 See all providers →

$240

77 claims

$3.12

$7.86

0.4×

Normal range

A4267Normal range

$240

77 claims · 0.0%

Your Cost: $3.12/claim|Median: $7.86

0.4× median

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$1.34B

Los Angeles County Department of Public Health

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$1.13B

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