Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. California (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Family Health Centers Of San Diego, Inc (NPI 1447281936)

Field	Value
Entity Type	Organization
Organization	Family Health Centers Of San Diego, Inc
Address	1809 National Ave
City	San Diego
State	CA
ZIP	92113
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicaid	$152.2M
Medicare	$0

Key Findings

The provider is effectively a Medicaid-focused organization with no Medicare billing on file and $152.2M in lifetime Medicaid revenue. Its NPI was enumerated 2006-07-05 (~20 years ago), indicating long-standing operation in the market but a payer mix that is essentially single-payer Medicaid for reported claims and revenue.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 86.5% of this provider’s total Medicaid revenue, with T1015 alone generating $107.7M (73.0% of Medicaid revenue). This concentration means a very large share of the center’s financial performance depends on bundled clinic-visit billing patterns tied to the FQHC payment model.

The code mix and dominant use of T1015 and G0467 indicate operation as a full-scope Federally Qualified Health Center delivering bundled, per-visit primary care and FQHC-specific services. T1015 ($107.7M) and G0467 ($1.3M) together signal that revenue is driven by high-volume, all-inclusive clinic encounters consistent with a community health-center care model rather than specialty, procedure-driven revenue.

Behavioral health and psychiatric services are a substantial service line: 90834 has 128.9K claims for $3.9M (2.6%) and 90791 and 90792 together account for over $2.1M in revenue, with 90834 ranking #2 of 1946 providers in-state (100th percentile; extreme outlier). Multiple psychotherapy and psychiatric-evaluation codes appear in the top code list, showing integrated behavioral health at scale alongside primary care.

Primary care office visits are reported at very high volumes but low per-claim payment: 99213 (942.8K claims, $1.9M) and 99214 (557K claims, $1.7M) both rank #1 in-state (100th percentile; extreme outlier). These figures indicate massive encounter throughput for established-patient visits, consistent with a high-volume community clinic serving many Medicaid members.

Maternal and reproductive services are a visible part of the mix: 59425 ($1.7M) ranks #2 of 1040 providers in-state (100th percentile; extreme outlier), 59409 contributes $664.8K, and obstetric ultrasound 76805 adds $253.2K. The presence of J7307 (Etonogestrel implant, $253.4K) and high-volume prenatal codes suggests a meaningful women’s health and prenatal care line within the FQHC framework.

The provider offers a wide range of ancillary and allied services beyond primary care and behavioral health: notable entries include PT codes 97139 (91.2K claims, $1M) and 97161 ($517.9K), ophthalmology 92004/92014 (combined ~$690.6K), and vision frames V2020 ($210.5K). Several of these ancillary codes rank near the top in-state (many in the 96–100th percentile or labeled notably above typical), implying co-located, multidisciplinary services that broaden access for Medicaid patients.

Competitive standing in-state is dominant for multiple high-volume codes: examples include 99213 and 99214 ranked #1 of 14524 and #1 of 13295 providers respectively (both 100th percentile; extreme outliers), and T1015 ranked #6 of 1550 (100th percentile; extreme outlier). Across primary care and behavioral health categories this provider is clearly a major, high-volume player relative to in-state peers, while the absence of Medicare billing indicates limited exposure to or participation in the Medicare market.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

421 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	588,380	$180	$107.7M
00003	N/A	59,820	$230	$13.8M
G9012	Other specified case management service not elsewhere classified	18,890	$320	$6.1M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	128,930	$30	$3.9M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	942,830	$1	$1.9M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	556,990	$1	$1.7M
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	61,710	$30	$1.7M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	21,580	$80	$1.6M
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…	41,020	$30	$1.3M
G9008	Coordinated care fee, physician coordinated care oversight services	14,930	$80	$1.2M

Showing 1–10 of 421

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

Claims Volume vs. California Distribution

Family Health Centers Of San Diego, Inc — 18 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

421 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	6	1,550	38,050	$190	$14.1M
00003	N/A	81	690	14,940	$260	$7.7M
H0005	Alcohol and/or drug services; group counseling by a clinician	120	150	4,360	$70	$2.4M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	1,478	1,570	680	$110	$1.1M
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…	44	750	950	$50	$890K
H0043	Supported housing, per diem	71	230	580	$250	$665.6K
G9012	Other specified case management service not elsewhere classified	43	720	1,110	$110	$651.3K
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	75	80	240	$120	$630.4K
80081	The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens…	16	50	190	$40	$483.7K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	184	660	1,490	$30	$417.2K

Showing 1–10 of 421

Related Providers

Other providers that share a Tax Identification Number (TIN) with Family Health Centers Of San Diego, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Health Centers Of San Diego Inc	CA	Federally Qualified Health Center (FQHC)	$0	$102.7M
Family Health Centers Of San Diego, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$97.1M
Family Health Centers Of San Diego Inc	CA	Federally Qualified Health Center (FQHC)	$0	$95.2M
Family Health Centers Of San Diego, Inc	CA	Federally Qualified Health Center (FQHC)	$0	$69.3M
Family Health Centers Of San Diego, Inc	CA	Federally Qualified Health Center (FQHC)	$0	$66.3M
Family Health Centers Of San Diego, Inc	CA	Federally Qualified Health Center (FQHC)	$0	$48M
Family Health Centers Of San Diego, Inc	CA	Federally Qualified Health Center (FQHC)	$0	$47.7M
Family Health Centers Of San Diego Inc	CA	Federally Qualified Health Center (FQHC)	$0	$40.8M
Family Health Centers Of San Diego, Inc	CA	Federally Qualified Health Center (FQHC)	$0	$26.4M
Family Health Centers Of San Diego, Inc	CA	Federally Qualified Health Center (FQHC)	$0	$23.7M

Nearby Providers

Other providers in the same ZIP code as Family Health Centers Of San Diego, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Health Centers Of San Diego, Inc	CA	Federally Qualified Health Center (FQHC)	$0	$94M
Centro De Salud De La Comunidad De San Ysidro Inc	CA	Federally Qualified Health Center (FQHC)	$0	$37.3M

Family Health Centers Of San Diego, Inc — Billing Profile & Reimbursement Data

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Family Health Centers Of San Diego, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References