Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Fontana › NPI 1174984041
Clinic

Unicare Community Health Center, INC.

Unicare Community Health Center, INC. was paid $6.83M by Medicaid between Sep 2018 and May 2024, across 115 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.

33Billing provider infoUNICARE COMMUNITY HEALTH CENTER, INC.
FONTANA, CA 92335
33aNPI1174984041assigned 03/18/2016
28Total paid$6.83M
24GClaims203,923
24DCodes billed115
24AFirst – last monthSep 2018 – May 2024
Compared with peers

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

Rank by total paid#356 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$200K2018201920202021202220232024
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
20182,789$401K
201928,750$1.40M
202038,481$1.82M
202127,037$1.11M
202215,945$374K
202355,209$1.15M
2024incomplete35,712$577K
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 93% 38,059 32,539 $6.35M
00003 Internal/system code - not a standard HCPCS code 3.1% 1,116 734 $213K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.9% 23,567 14,267 $129K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.3% 10,958 6,497 $86K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 174 156 $26K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 171 138 $11K
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% 1,481 884 $4K
92551 <1% 3,468 2,328 $3K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session <1% 239 230 $2K
96156 <1% 3,360 2,256 $2K
99000 <1% 4,508 3,278 $2K
94760 <1% 17,865 10,593 $2K
103 more codes
59425 <1% 421 $1K
97802 <1% 1,264 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 856 $1K
90651 <1% 155 $981.75
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 447 $659.40
90686 <1% 1,752 $622.02
H1003 Prenatal care, at-risk enhanced service; education <1% 142 $353.22
81025 <1% 280 $350.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 993 $244.86
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 448 $219.32
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 210 $149.00
99401 <1% 237 $143.65
90674 <1% 39 $80.00
85018 <1% 3,039 $35.17
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 122 $33.00
96127 <1% 317 $28.86
97803 <1% 599 $26.11
90688 <1% 145 $25.00
3008F <1% 34,746 $24.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 3,433 $10.59
99173 <1% 6,329 $8.06
3080F 0% 505 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 2,376 $0.00
H0049 Alcohol and/or drug screening 0% 1,132 $0.00
Z6410 0% 482 $0.00
3074F 0% 5,770 $0.00
90697 0% 42 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 389 $0.00
1036F 0% 979 $0.00
1031F 0% 675 $0.00
86803 0% 41 $0.00
36415 Collection of venous blood by venipuncture 0% 414 $0.00
Z6204 0% 124 $0.00
3079F 0% 1,274 $0.00
90620 0% 19 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 540 $0.00
Z1034 0% 1,069 $0.00
3075F 0% 835 $0.00
99402 0% 120 $0.00
96161 0% 920 $0.00
Z6406 0% 186 $0.00
1000F 0% 407 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 0% 91 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 207 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 0% 198 $0.00
99383 0% 122 $0.00
Z6402 0% 53 $0.00
90698 0% 133 $0.00
90744 0% 64 $0.00
83036 Hemoglobin; glycosylated (A1C) 0% 90 $0.00
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 0% 475 $0.00
Z1032 0% 42 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 0% 104 $0.00
86580 0% 21 $0.00
99384 0% 72 $0.00
82962 0% 82 $0.00
99381 0% 16 $0.00
COVID Covid-19 convalescent plasma 0% 46 $0.00
90619 0% 51 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 0% 49 $0.00
Z1038 0% 12 $0.00
90677 0% 21 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 0% 27 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 1,578 $0.00
3078F 0% 5,603 $0.00
Z6400 0% 350 $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% 1,626 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 2,143 $0.00
98960 0% 546 $0.00
90461 0% 1,112 $0.00
3077F 0% 839 $0.00
G8482 Influenza immunization administered or previously received 0% 2,029 $0.00
Z6200 0% 53 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 216 $0.00
90671 0% 62 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 1,909 $0.00
G9920 Screening performed and negative 0% 577 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 122 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 0% 255 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 0% 496 $0.00
96160 0% 587 $0.00
90670 0% 256 $0.00
1160F 0% 109 $0.00
Z6300 0% 53 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 0% 167 $0.00
Z6500 0% 55 $0.00
90832 Psychotherapy session, about 30 minutes 0% 66 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 185 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 461 $0.00
Z6304 0% 123 $0.00
90734 0% 17 $0.00
90710 0% 25 $0.00
90756 0% 58 $0.00
1159F 0% 634 $0.00
81002 0% 78 $0.00
80061 Lipid panel 0% 92 $0.00
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 0% 18 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 27 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 0% 52 $0.00
90633 0% 79 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 0% 18 $0.00
90715 0% 16 $0.00
2028F 0% 16 $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.