Medicaid Provider Spending

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

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

NPI: 1023799806 · FRESNO, CA 93721 · Case Manager/Care Coordinator · NPI assigned 07/26/2023

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

Authorized official LOPEZ, MARY LOU controls 20+ related entities in our dataset. Read more

$19K
Total Medicaid Paid
30,841
Total Claims
24,980
Beneficiary Records
38
Codes Billed
2023-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
NPI Enumeration Date07/26/2023

Related Entities

Other providers sharing the same authorized official: LOPEZ, MARY LOU

ProviderCityStateTotal Paid
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY REEDLEY CA $110.12M
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY PARLIER CA $48.02M
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY SANGER CA $39.64M
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY FRESNO CA $19.47M
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY FRESNO CA $18.68M
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY LEMOORE CA $17.63M
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY FRESNO CA $16.06M
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY CORCORAN CA $14.64M
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY HURON CA $13.00M
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY FRESNO CA $12.18M
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY FRESNO CA $10.24M
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY FRESNO CA $9.62M
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY CLOVIS CA $6.21M
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY DINUBA CA $5.15M
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY HANFORD CA $3.58M
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY VISALIA CA $2.17M
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY EARLIMART CA $1.29M
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY KERMAN CA $552K
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY MENDOTA CA $265K
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY ORANGE COVE CA $151K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 26,074 $814.05
2024 4,767 $18K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
90834 Psychotherapy, 45 minutes with patient 174 134 $13K
98940 1,563 1,064 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,372 1,900 $2K
G9920 Screening performed and negative 493 487 $899.00
G9919 Screening performed and positive and provision of recommendations 43 43 $174.00
3078F 2,558 2,131 $0.00
99173 68 68 $0.00
3077F 141 122 $0.00
1159F 2,891 2,328 $0.00
95800 51 50 $0.00
1160F 2,891 2,328 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 16 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 130 130 $0.00
3725F 2,406 1,863 $0.00
81025 30 29 $0.00
81003 30 27 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 16 16 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 189 187 $0.00
90715 22 22 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 35 35 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 17 17 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12 12 $0.00
1036F 3,345 2,519 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 251 225 $0.00
90686 47 47 $0.00
3079F 849 755 $0.00
3074F 2,765 2,271 $0.00
92551 66 66 $0.00
3008F 3,830 3,055 $0.00
1034F 362 273 $0.00
3075F 540 492 $0.00
1125F 1,133 928 $0.00
1126F 1,279 1,150 $0.00
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 119 94 $0.00
3080F 50 45 $0.00
90688 16 16 $0.00
1035F 19 14 $0.00
36415 Collection of venous blood by venipuncture 22 21 $0.00