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.

San Diego Family Care (NPI 1457724858)

Field	Value
Entity Type	Organization
Organization	San Diego Family Care
Address	7011 Linda Vista Rd
City	San Diego
State	CA
ZIP	92111
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	November 6, 2015

Payer Source	Total Paid
Medicaid	$36.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

96 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	179,540	$130	$22.8M
00003	N/A	75,730	$180	$13.4M
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…	7,350	$20	$139.6K
90832	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…	15,310	$10	$122.5K
0002A	N/A	1,170	$50	$63.2K
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…	1,960	$30	$54.9K
0001A	N/A	760	$50	$38K
0012A	N/A	480	$50	$22.2K
0011A	N/A	380	$40	$14.4K
0004A	N/A	130	$60	$7.3K

Showing 1–10 of 96

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

San Diego Family Care — 1 of 18 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

96 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	169	1,550	38,050	$190	$14.1M
00003	N/A	55	690	14,940	$260	$7.7M
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…	371	1,030	1,050	$70	$219.7K
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…	134	1,950	500	$80	$179K
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…	2,032	13,300	640	$40	$169.6K
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…	128	160	190	$180	$141.3K
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…	398	14,520	760	$10	$122.8K
90832	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…	68	1,430	640	$30	$93.9K
99070	Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,…	502	510	500	$10	$89.3K
99204	The provider sees a new 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 provider…	3,881	5,870	180	$70	$73K

Showing 1–10 of 96

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mdrs Spine & Sport, Inc	CA	Multi-Specialty Clinic/Center	$0	$48.7M
American Truecare, Inc	CA	Case Management Agency	$0	$26.8M
Ian Purcell	CA	Neurology Physician	$1.3M	$0
Theresa Timony	CA	Psychiatric/Mental Health Nurse Practitioner	$875.5K	$0
Kevin Smith	CA	Pain Medicine (Anesthesiology) Physician	$183.8K	$0
Monali Patel	CA	Neurology Physician	$145.4K	$0
Christopher Hunt	CA	Internal Medicine Physician	$122.2K	$0
Raymond Chan	CA	Ophthalmology Physician	$112.1K	$0
Paul Kim	CA	Pain Medicine (Anesthesiology) Physician	$105.7K	$60
Harmeeth Uppal	CA	Orthopaedic Trauma Physician	$53.8K	$0

San Diego Family Care — Billing Profile & Reimbursement Data

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San Diego Family Care — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References