Medicaid Provider Spending

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

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

NPI: 1215416839 · SELMA, CA 93662 · Case Manager/Care Coordinator · NPI assigned 08/14/2018

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

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

$66K
Total Medicaid Paid
63,335
Total Claims
53,147
Beneficiaries
64
Codes Billed
2019-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
NPI Enumeration Date08/14/2018

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 VISALIA CA $2.17M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 216 $4K
2020 9,966 $5K
2021 15,160 $18K
2022 11,800 $5K
2023 24,858 $17K
2024 1,335 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 904 903 $31K
V2020 Frames, purchases 733 731 $12K
92340 Fitting of spectacles, except for aphakia; monofocal 516 514 $9K
92015 Determination of refractive state 1,196 1,194 $8K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 961 727 $3K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 50 49 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30,483 22,969 $935.56
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 47 38 $366.52
92341 12 12 $343.44
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,411 3,920 $236.25
90834 Psychotherapy, 45 minutes with patient 368 296 $133.65
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 330 330 $112.54
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 826 771 $38.52
92250 68 68 $37.92
86580 36 35 $3.70
81003 848 798 $0.45
3008F 1,909 1,746 $0.00
90688 545 545 $0.00
3074F 1,305 1,198 $0.00
1034F 33 27 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 291 287 $0.00
92551 736 736 $0.00
1125F 262 250 $0.00
1036F 1,834 1,601 $0.00
3075F 315 307 $0.00
3079F 349 329 $0.00
96156 661 596 $0.00
82962 365 346 $0.00
90686 198 198 $0.00
99243 178 178 $0.00
85018 305 304 $0.00
87428 263 258 $0.00
1126F 1,367 1,277 $0.00
92227 14 14 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 39 36 $0.00
91307 68 60 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 14 14 $0.00
0064A 44 43 $0.00
91306 44 43 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 90 68 $0.00
0072A 47 47 $0.00
97802 20 20 $0.00
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 21 18 $0.00
1159F 1,996 1,764 $0.00
S3000 Diabetic indicator; retinal eye exam, dilated, bilateral 57 57 $0.00
3078F 1,361 1,268 $0.00
G9920 Screening performed and negative 157 154 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 91 91 $0.00
90832 Psychotherapy, 30 minutes with patient 451 314 $0.00
81025 84 84 $0.00
99401 404 349 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 936 910 $0.00
99173 567 567 $0.00
3725F 1,593 1,399 $0.00
1160F 1,996 1,764 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 220 220 $0.00
H1003 Prenatal care, at-risk enhanced service; education 16 16 $0.00
0071A 14 14 $0.00
97803 90 83 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 60 60 $0.00
90791 Psychiatric diagnostic evaluation 27 27 $0.00
3077F 49 47 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 45 43 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 15 15 $0.00