Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Unicare Community Health Center INC

Unicare Community Health Center INC was paid $6.96M by Medicaid between Jan 2021 and Dec 2024, across 138 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 68% of everything it billed.

33Billing provider infoUNICARE COMMUNITY HEALTH CENTER INC
FONTANA, CA 92335
33aNPI1003373812assigned 02/28/2019
28Total paid$6.96M
24GClaims241,950
24DCodes billed138
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in California

Rank by total paid#355 of 826
Median peer was paid$4.05M
This provider vs. median1.7×

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 MACHKALYAN, AVETIK controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
202126,528$1.33M
202240,353$1.27M
202368,611$2.08M
2024incomplete106,458$2.27M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 68% 25,396 21,800 $4.75M
00003 Internal/system code - not a standard HCPCS code 30% 9,540 7,627 $2.08M
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% 13,133 8,534 $34K
59425 <1% 1,187 890 $28K
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% 6,441 4,403 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,916 2,019 $12K
97802 <1% 7,058 4,585 $9K
94760 <1% 26,393 16,532 $7K
92551 <1% 3,461 2,457 $4K
96156 <1% 5,573 3,959 $4K
90792 Psychiatric diagnostic evaluation with medical services <1% 208 172 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 61 48 $2K
126 more codes
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 889 $1K
97803 <1% 588 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 241 $823.20
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 2,692 $803.76
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session <1% 279 $674.48
99215 Doctor's office visit, returning patient (complex) <1% 93 $581.15
H1003 Prenatal care, at-risk enhanced service; education <1% 195 $504.60
99401 <1% 367 $477.49
90686 <1% 986 $374.00
90651 <1% 640 $230.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 933 $175.40
99000 <1% 2,165 $119.79
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 98 $109.90
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 841 $109.66
81025 <1% 77 $75.60
85018 <1% 3,523 $60.03
96127 <1% 614 $57.72
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 128 $51.42
81002 <1% 550 $49.86
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 588 $37.39
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 221 $34.69
90677 <1% 91 $18.00
82962 <1% 254 $16.00
90633 <1% 304 $12.00
90619 <1% 169 $9.00
90715 <1% 88 $9.00
90710 <1% 117 $6.00
99173 <1% 5,851 $4.03
85025 Blood count; complete (CBC), automated, and automated differential WBC count 0% 278 $0.00
3008F 0% 29,646 $0.00
3079F 0% 1,029 $0.00
Z6410 0% 879 $0.00
Z6204 0% 182 $0.00
D1206 Topical application of fluoride varnish 0% 1,380 $0.00
1036F 0% 5,283 $0.00
Z6406 0% 274 $0.00
1031F 0% 2,165 $0.00
86803 0% 54 $0.00
Z1034 0% 1,994 $0.00
96161 0% 2,881 $0.00
1000F 0% 3,343 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 2,660 $0.00
D0603 0% 1,546 $0.00
D9995 0% 171 $0.00
D0210 Intraoral - complete series of radiographic images 0% 1,321 $0.00
D0150 Comprehensive oral evaluation - new or established patient 0% 1,571 $0.00
83036 Hemoglobin; glycosylated (A1C) 0% 306 $0.00
90688 0% 79 $0.00
3074F 0% 7,864 $0.00
3075F 0% 552 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 184 $0.00
D1351 Sealant - per tooth 0% 416 $0.00
D0230 Intraoral - periapical each additional radiographic image 0% 1,073 $0.00
3044F 0% 36 $0.00
86580 0% 36 $0.00
Z1032 0% 81 $0.00
D0999 Unspecified diagnostic procedure, by report 0% 171 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 0% 462 $0.00
36415 Collection of venous blood by venipuncture 0% 402 $0.00
Z6402 0% 13 $0.00
D0602 0% 363 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 904 $0.00
3080F 0% 443 $0.00
D0120 Dental checkup, returning patient 0% 907 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 0% 83 $0.00
H0049 Alcohol and/or drug screening 0% 4,144 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 25 $0.00
90674 0% 162 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 282 $0.00
1126F 0% 34 $0.00
90697 0% 197 $0.00
99402 0% 77 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 0% 102 $0.00
99383 0% 40 $0.00
99384 0% 16 $0.00
0501F 0% 50 $0.00
D7140 Extraction, erupted tooth or exposed root 0% 56 $0.00
Z1038 0% 12 $0.00
M1207 Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 0% 26 $0.00
G0008 Administration of influenza virus vaccine 0% 17 $0.00
90620 0% 26 $0.00
90716 0% 13 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 1,613 $0.00
D9430 0% 647 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 121 $0.00
Z6304 0% 182 $0.00
D0220 Intraoral - periapical first radiographic image 0% 965 $0.00
90461 0% 1,252 $0.00
3078F 0% 7,520 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 1,973 $0.00
D0274 Bitewings - four radiographic images 0% 450 $0.00
1159F 0% 6,033 $0.00
D2150 Silver amalgam - two surfaces, primary or permanent 0% 213 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 2,224 $0.00
G9920 Screening performed and negative 0% 1,580 $0.00
3077F 0% 728 $0.00
G0445 High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes 0% 68 $0.00
Z6400 0% 673 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 199 $0.00
90670 0% 98 $0.00
D1120 Dental cleaning, child 0% 1,017 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 163 $0.00
D4341 0% 381 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 1,676 $0.00
96160 0% 3,120 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 54 $0.00
1160F 0% 6,444 $0.00
D1110 Prophylaxis - adult 0% 70 $0.00
90671 0% 105 $0.00
80061 Lipid panel 0% 170 $0.00
G8482 Influenza immunization administered or previously received 0% 364 $0.00
Z6500 0% 86 $0.00
90681 0% 35 $0.00
D0145 Oral evaluation for a patient under three years of age 0% 85 $0.00
Z6300 0% 13 $0.00
D2140 0% 51 $0.00
0502F 0% 50 $0.00
83655 0% 27 $0.00
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 0% 30 $0.00
Z6200 0% 13 $0.00
99203 Doctor's office visit, new patient (routine) 0% 47 $0.00
90734 0% 59 $0.00
98960 0% 50 $0.00
D4910 0% 13 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 0% 16 $0.00
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 0% 12 $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 officialMACHKALYAN, AVETIK (CHIEF EXECUTIVE OFFICER)
Same official

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.