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.
RIVERSIDE, CA 92503
Next to other Federally Qualified Health Center (FQHC) providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 30,931 | $955K | |
| 2022 | 41,297 | $1.23M | |
| 2023 | 141,214 | $3.84M | |
| 2024incomplete | 766,607 | $13.85M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Unicare Community Health Center, INC. | Ontario, CA | $18.52M |
| Unicare Community Health Center, INC. | Colton, CA | $14.48M |
| Unicare Community Health Center, INC. | Pomona, CA | $13.48M |
| Unicare Community Health Center, INC. | San Bernardino, CA | $9.29M |
| Unicare Community Health Center INC | Fontana, CA | $6.96M |
| Unicare Community Health Center, INC. | Fontana, CA | $6.83M |
| Unicare Community Health Center, INC. | Los Angeles, CA | $5.14M |
| Unicare Community Health Center INC | Los Angeles, CA | $4.29M |
| Unicare Community Health Center INC | San Bernardino, CA | $3.12M |
| Unicare Community Health Center INC | Corona, CA | $3.07M |
| Unicare Community Health Center INC | Ontario, CA | $2.69M |
| Unicare Community Health Center INC | Moreno Valley, CA | $2.57M |
| Unicare Community Health Center INC | San Bernardino, CA | $30K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.