Unicare Community Health Center INC
Unicare Community Health Center INC was paid $3.12M by Medicaid between Oct 2020 and May 2024, across 105 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
SAN BERNARDINO, CA 92404
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 | |
|---|---|---|---|
| 2020 | 4,245 | $206K | |
| 2021 | 23,976 | $1.03M | |
| 2022 | 23,082 | $593K | |
| 2023 | 44,399 | $869K | |
| 2024incomplete | 22,900 | $421K |
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 | 98% | 22,372 | 18,850 | $3.07M |
| 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% | 12,363 | 8,239 | $19K |
| 59425 | <1% | 435 | 337 | $11K | |
| 94760 | <1% | 9,109 | 5,550 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,068 | 1,468 | $3K |
| 96156 | <1% | 2,294 | 1,669 | $3K | |
| 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% | 4,527 | 3,844 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 314 | 217 | $3K |
| 97803 | <1% | 1,098 | 752 | $2K | |
| 92551 | <1% | 1,829 | 1,320 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 183 | 141 | $1K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 775 | 520 | $912.66 |
93 more codes
| 97802 | <1% | 937 | $728.40 | |
| G0467 | Community health center visit, returning patient | <1% | 28 | $665.22 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 76 | $629.20 |
| 98960 | <1% | 139 | $550.80 | |
| 99386 | <1% | 19 | $396.60 | |
| 99401 | <1% | 172 | $319.61 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 17 | $201.84 |
| 90686 | <1% | 1,371 | $180.82 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 330 | $164.49 |
| 99385 | <1% | 18 | $114.10 | |
| 99000 | <1% | 3,217 | $68.89 | |
| 90651 | <1% | 281 | $66.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 23 | $34.28 |
| 90677 | <1% | 22 | $27.00 | |
| 96127 | <1% | 250 | $24.05 | |
| 81002 | <1% | 406 | $18.92 | |
| 81025 | <1% | 81 | $14.00 | |
| 90671 | <1% | 157 | $9.00 | |
| 90633 | <1% | 125 | $9.00 | |
| 85018 | <1% | 489 | $6.21 | |
| 99173 | <1% | 2,497 | $3.41 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 226 | $0.00 |
| 3080F | 0% | 105 | $0.00 | |
| 3008F | 0% | 19,280 | $0.00 | |
| 3074F | 0% | 1,525 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 612 | $0.00 |
| 96161 | 0% | 278 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 317 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,350 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 194 | $0.00 |
| Z6410 | 0% | 219 | $0.00 | |
| Z1034 | 0% | 844 | $0.00 | |
| 1031F | 0% | 919 | $0.00 | |
| Z6204 | 0% | 36 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 538 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 3,481 | $0.00 |
| 3075F | 0% | 223 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 369 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 773 | $0.00 |
| 90697 | 0% | 115 | $0.00 | |
| 1000F | 0% | 863 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 100 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 2,163 | $0.00 |
| 99383 | 0% | 15 | $0.00 | |
| 90688 | 0% | 127 | $0.00 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 0% | 14 | $0.00 |
| 3079F | 0% | 328 | $0.00 | |
| 1036F | 0% | 168 | $0.00 | |
| 82962 | 0% | 67 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 25 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 18 | $0.00 |
| 90674 | 0% | 17 | $0.00 | |
| 90619 | 0% | 116 | $0.00 | |
| 1111F | 0% | 39 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 13 | $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% | 14 | $0.00 |
| 99441 | 0% | 44 | $0.00 | |
| 86803 | 0% | 43 | $0.00 | |
| Z6406 | 0% | 76 | $0.00 | |
| 90716 | 0% | 14 | $0.00 | |
| 99402 | 0% | 14 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 2,404 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 1,545 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,746 | $0.00 |
| 3078F | 0% | 1,485 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 1,415 | $0.00 |
| 90461 | 0% | 703 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 246 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 263 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 659 | $0.00 |
| Z6400 | 0% | 97 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 370 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 42 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 522 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 203 | $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% | 474 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 637 | $0.00 |
| Z6304 | 0% | 28 | $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% | 22 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 102 | $0.00 |
| 90670 | 0% | 44 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 76 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 46 | $0.00 |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 137 | $0.00 |
| 1159F | 0% | 140 | $0.00 | |
| 3077F | 0% | 186 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 24 | $0.00 |
| G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | 0% | 20 | $0.00 |
| 1160F | 0% | 146 | $0.00 | |
| 90734 | 0% | 19 | $0.00 | |
| 80061 | Lipid panel | 0% | 59 | $0.00 |
| 90715 | 0% | 21 | $0.00 | |
| 90756 | 0% | 17 | $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. | 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 | 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.