Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Riverside › NPI 1043777089
Clinic

Unicare Community Health Center INC

Unicare Community Health Center INC was paid $19.88M by Medicaid between Apr 2021 and Dec 2024, across 220 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 76% of everything it billed.

33Billing provider infoUNICARE COMMUNITY HEALTH CENTER INC
RIVERSIDE, CA 92503
33aNPI1043777089assigned 02/26/2019
28Total paid$19.88M
24GClaims980,049
24DCodes billed220
24AFirst – last monthApr 2021 – Dec 2024
Compared with peers

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

Rank by total paid#185 of 826
Median peer was paid$4.05M
This provider vs. median4.9×

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$1.0M$2.0M2018201920202021202220232024
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
202130,931$955K
202241,297$1.23M
2023141,214$3.84M
2024incomplete766,607$13.85M
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 76% 75,596 63,543 $15.11M
00003 Internal/system code - not a standard HCPCS code 22% 17,981 15,504 $4.38M
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% 60,100 37,707 $85K
96156 <1% 16,835 11,506 $37K
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% 11,111 7,538 $34K
97802 <1% 28,775 18,620 $28K
59425 <1% 2,679 1,906 $27K
94760 <1% 107,856 65,592 $22K
97803 <1% 11,514 7,728 $19K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 1,766 1,199 $11K
92551 <1% 11,167 7,466 $11K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 1,647 1,140 $9K
208 more codes
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 1,373 $8K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 12,693 $7K
90674 <1% 3,667 $7K
99205 Prolong outpt/office vis <1% 433 $7K
90832 Psychotherapy session, about 30 minutes <1% 2,326 $6K
90791 Psychiatric diagnostic evaluation <1% 738 $6K
90837 Psychotherapy session, about an hour <1% 523 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 5,557 $5K
99401 <1% 3,651 $5K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session <1% 1,483 $4K
59430 <1% 361 $3K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 2,390 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 766 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 2,103 $3K
90686 <1% 4,474 $3K
H1003 Prenatal care, at-risk enhanced service; education <1% 650 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,222 $3K
90715 <1% 1,026 $2K
99203 Doctor's office visit, new patient (routine) <1% 788 $2K
99385 <1% 503 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,750 $2K
99204 Doctor's office visit, new patient (more involved) <1% 92 $2K
96127 <1% 6,242 $1K
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 3,328 $1K
90651 <1% 1,479 $1K
90633 <1% 1,281 $846.71
90648 <1% 385 $792.00
90671 <1% 400 $780.00
S9452 Nutrition classes, non-physician provider, per session <1% 190 $588.70
90723 <1% 315 $588.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 1,599 $520.00
98960 <1% 161 $468.18
85018 <1% 7,963 $451.02
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 124 $450.00
90677 <1% 1,459 $424.80
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 2,118 $410.55
90680 <1% 237 $402.00
99386 <1% 311 $396.60
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 1,599 $394.65
90734 <1% 277 $357.00
90710 <1% 364 $306.00
99000 <1% 12,402 $297.38
86580 <1% 70 $290.00
82962 <1% 3,170 $290.00
90672 <1% 189 $288.00
99407 <1% 656 $239.16
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 454 $236.64
90620 <1% 425 $204.00
36425 <1% 217 $179.22
90619 <1% 551 $171.00
90700 <1% 111 $141.00
87428 <1% 200 $123.76
81025 <1% 580 $114.77
99383 <1% 1,120 $109.66
81002 <1% 1,178 $105.33
90460 Immunization administration through 18 years of age via any route, first or only component <1% 2,821 $93.90
99381 <1% 316 $90.66
90697 <1% 1,038 $88.00
90688 <1% 238 $74.84
92015 Determination of refractive state <1% 693 $56.07
90381 <1% 88 $52.00
99173 <1% 16,283 $47.15
99382 <1% 516 $47.13
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 1,727 $45.89
H0049 Alcohol and/or drug screening <1% 26,872 $45.00
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 209 $39.44
90681 <1% 366 $39.00
90696 <1% 67 $36.00
91321 <1% 20 $26.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 45 $20.97
96161 <1% 10,857 $2.56
3077F 0% 6,373 $0.00
3078F 0% 58,855 $0.00
1159F 0% 17,357 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 3,496 $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% 551 $0.00
G8785 Blood pressure reading not documented, reason not given 0% 461 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 1,310 $0.00
D0145 Oral evaluation for a patient under three years of age 0% 201 $0.00
D0274 Bitewings - four radiographic images 0% 1,000 $0.00
D9430 0% 1,123 $0.00
83655 0% 291 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 72 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 14,144 $0.00
Z6400 0% 1,045 $0.00
G8482 Influenza immunization administered or previously received 0% 7,545 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 898 $0.00
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 0% 236 $0.00
1160F 0% 16,643 $0.00
D1120 Dental cleaning, child 0% 2,250 $0.00
D2140 0% 139 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 0% 169 $0.00
D4341 0% 937 $0.00
Z6300 0% 374 $0.00
D0220 Intraoral - periapical first radiographic image 0% 1,868 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 3,359 $0.00
3015F 0% 1,719 $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% 2,269 $0.00
Z6304 0% 503 $0.00
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 0% 114 $0.00
96160 0% 5,199 $0.00
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test 0% 283 $0.00
G9920 Screening performed and negative 0% 2,273 $0.00
4004F 0% 644 $0.00
0521F 0% 3,118 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 411 $0.00
Z6200 0% 374 $0.00
90461 0% 1,303 $0.00
80061 Lipid panel 0% 393 $0.00
D2150 Silver amalgam - two surfaces, primary or permanent 0% 310 $0.00
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 0% 246 $0.00
80074 0% 131 $0.00
81479 Unlisted molecular pathology procedure 0% 184 $0.00
G9919 Screening performed and positive and provision of recommendations 0% 1,515 $0.00
81329 0% 114 $0.00
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 0% 287 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 250 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 0% 55 $0.00
Z6414 0% 151 $0.00
0502F 0% 291 $0.00
D0270 0% 44 $0.00
D1110 Prophylaxis - adult 0% 26 $0.00
D4910 0% 30 $0.00
88164 0% 126 $0.00
82274 0% 188 $0.00
Z6308 0% 118 $0.00
3046F 0% 15 $0.00
90670 0% 63 $0.00
81422 0% 184 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 107 $0.00
99483 Prolong outpt/office vis 0% 66 $0.00
Z6208 0% 85 $0.00
90380 0% 15 $0.00
91312 0% 18 $0.00
90707 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% 19 $0.00
1036F 0% 20,799 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 13,676 $0.00
3074F 0% 61,401 $0.00
1000F 0% 22,464 $0.00
D0230 Intraoral - periapical each additional radiographic image 0% 2,694 $0.00
1125F 0% 3,475 $0.00
3008F 0% 100,228 $0.00
D0603 0% 5,044 $0.00
3075F 0% 6,861 $0.00
1126F 0% 9,858 $0.00
3079F 0% 12,948 $0.00
D0210 Intraoral - complete series of radiographic images 0% 2,577 $0.00
36415 Collection of venous blood by venipuncture 0% 2,462 $0.00
D0150 Comprehensive oral evaluation - new or established patient 0% 3,036 $0.00
1034F 0% 1,193 $0.00
1031F 0% 9,839 $0.00
Z6402 0% 372 $0.00
D1206 Topical application of fluoride varnish 0% 3,254 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 0% 733 $0.00
83036 Hemoglobin; glycosylated (A1C) 0% 643 $0.00
G0443 Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes 0% 116 $0.00
2023F 0% 66 $0.00
Z1034 0% 3,807 $0.00
3080F 0% 2,280 $0.00
D1352 0% 61 $0.00
Z1032 0% 249 $0.00
D0120 Dental checkup, returning patient 0% 1,922 $0.00
99402 0% 721 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 469 $0.00
Z6410 0% 2,104 $0.00
Z6406 0% 677 $0.00
1111F 0% 177 $0.00
Z6204 0% 571 $0.00
99384 0% 728 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 1,185 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 2,133 $0.00
86592 0% 329 $0.00
D0602 0% 108 $0.00
H2000 Comprehensive multidisciplinary evaluation 0% 221 $0.00
82950 0% 22 $0.00
3044F 0% 1,047 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 0% 284 $0.00
86803 0% 250 $0.00
Z1038 0% 161 $0.00
D1351 Sealant - per tooth 0% 564 $0.00
0501F 0% 334 $0.00
93000 0% 71 $0.00
90716 0% 95 $0.00
M1207 Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 0% 174 $0.00
COVID Covid-19 convalescent plasma 0% 15 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 0% 227 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 0% 19 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 0% 329 $0.00
99441 0% 209 $0.00
99447 0% 17 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 0% 56 $0.00
D4342 0% 122 $0.00
D0601 0% 30 $0.00
G9745 Documented reason for not screening or recommending a follow-up for high blood pressure 0% 131 $0.00
D9995 0% 91 $0.00
90839 0% 24 $0.00
G0008 Administration of influenza virus vaccine 0% 36 $0.00
4010F 0% 44 $0.00
98967 0% 14 $0.00
3017F 0% 38 $0.00
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 0% 110 $0.00
G8756 No documentation of blood pressure measurement, reason not given 0% 22 $0.00
36410 0% 21 $0.00
3351F 0% 17 $0.00
87081 0% 27 $0.00
D0999 Unspecified diagnostic procedure, by report 0% 91 $0.00
D0272 Bitewings - two radiographic images 0% 15 $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

Other billing entities under MACHKALYAN, AVETIK

Full network →

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