Medicaid Provider Spending

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

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

NPI: 1184332900 · VISALIA, CA 93277 · Case Manager/Care Coordinator · NPI assigned 11/10/2022

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

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

$2.17M
Total Medicaid Paid
47,199
Total Claims
34,158
Beneficiaries
50
Codes Billed
2023-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
NPI Enumeration Date11/10/2022

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 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
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY SANGER CA $96K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 13,009 $703K
2024 34,190 $1.47M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
00003 Internal/system code - not a standard HCPCS code 6,390 3,874 $1.20M
T1015 Clinic visit/encounter, all-inclusive 6,099 4,673 $931K
90834 Psychotherapy, 45 minutes with patient 784 463 $25K
90832 Psychotherapy, 30 minutes with patient 425 301 $9K
90791 Psychiatric diagnostic evaluation 36 26 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 924 678 $773.55
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,860 2,157 $722.25
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 212 187 $37.47
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 310 275 $0.06
D0270 75 75 $0.00
3725F 3,641 2,634 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 193 130 $0.00
D9430 409 384 $0.00
D1110 Prophylaxis - adult 195 195 $0.00
81003 141 112 $0.00
1160F 1,510 962 $0.00
3078F 2,199 1,772 $0.00
90715 12 12 $0.00
99173 38 29 $0.00
1159F 1,510 962 $0.00
D4341 113 58 $0.00
81025 46 37 $0.00
D1120 Prophylaxis - child 212 212 $0.00
D0220 Intraoral - periapical first radiographic image 350 343 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $0.00
D0274 Bitewings - four radiographic images 230 228 $0.00
90658 31 31 $0.00
3008F 3,398 2,627 $0.00
3075F 422 362 $0.00
3079F 811 679 $0.00
85018 44 36 $0.00
1126F 2,172 1,758 $0.00
D0230 Intraoral - periapical each additional radiographic image 2,004 485 $0.00
1125F 348 295 $0.00
1036F 4,197 2,866 $0.00
3074F 2,429 1,927 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 41 41 $0.00
D0150 Comprehensive oral evaluation - new or established patient 449 444 $0.00
D0210 Intraoral - complete series of radiographic images 346 341 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 293 216 $0.00
D0120 Periodic oral evaluation - established patient 290 285 $0.00
92551 38 29 $0.00
D1208 Topical application of fluoride, excluding varnish 503 503 $0.00
D0603 264 261 $0.00
D0602 25 24 $0.00
D0601 102 102 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 14 14 $0.00
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 16 14 $0.00
1034F 20 14 $0.00
D5899 16 13 $0.00