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.
FONTANA, CA 92335
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 | |
|---|---|---|---|
| 2018 | 2,789 | $401K | |
| 2019 | 28,750 | $1.40M | |
| 2020 | 38,481 | $1.82M | |
| 2021 | 27,037 | $1.11M | |
| 2022 | 15,945 | $374K | |
| 2023 | 55,209 | $1.15M | |
| 2024incomplete | 35,712 | $577K |
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 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Unicare Community Health Center INC | Riverside, CA | $19.88M |
| 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. | 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.