Medicaid Provider Spending

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

UNICARE COMMUNITY HEALTH CENTER INC

NPI: 1215494257 · ONTARIO, CA 91761 · Federally Qualified Health Center (FQHC) · NPI assigned 02/26/2019

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

Authorized official MACHKALYAN, AVETIK controls 13+ related entities in our dataset. Read more

$2.69M
Total Medicaid Paid
137,929
Total Claims
97,301
Beneficiaries
102
Codes Billed
2020-12
First Month
2024-05
Last Month

Provider Details

Authorized OfficialMACHKALYAN, AVETIK (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date02/26/2019

Related Entities

Other providers sharing the same authorized official: MACHKALYAN, AVETIK

ProviderCityStateTotal 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 SAN BERNARDINO CA $3.12M
UNICARE COMMUNITY HEALTH CENTER INC CORONA CA $3.07M
UNICARE COMMUNITY HEALTH CENTER INC MORENO VALLEY CA $2.57M
UNICARE COMMUNITY HEALTH CENTER INC SAN BERNARDINO CA $30K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,231 $45K
2021 29,387 $764K
2022 25,645 $547K
2023 49,222 $855K
2024 32,444 $482K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 18,599 16,301 $2.65M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,954 9,925 $19K
96156 4,529 3,330 $3K
59425 156 116 $3K
97803 3,042 1,971 $3K
94760 16,445 10,328 $3K
92551 2,030 1,461 $2K
99401 2,111 1,379 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,069 702 $1K
97802 1,500 1,018 $1K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,669 1,082 $890.40
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 202 162 $659.40
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 454 325 $607.11
90686 673 543 $327.38
H1003 Prenatal care, at-risk enhanced service; education 76 73 $269.12
99173 4,312 3,140 $196.82
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 240 178 $173.49
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 849 645 $125.05
96110 Developmental screening, with scoring and documentation, per standardized instrument 40 25 $119.80
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 16 12 $75.26
3008F 21,004 13,676 $56.00
99000 2,138 1,603 $54.41
85018 2,468 1,765 $43.47
96127 290 203 $43.29
90460 Immunization administration through 18 years of age via any route, first or only component 1,091 851 $42.00
90677 47 29 $18.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 942 626 $17.14
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 57 42 $16.82
90651 92 68 $9.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 561 433 $3.63
81002 102 67 $1.72
3080F 252 156 $0.00
99402 82 77 $0.00
Z6410 136 104 $0.00
3074F 4,670 2,836 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3,118 2,322 $0.00
83036 Hemoglobin; glycosylated (A1C) 684 558 $0.00
36415 Collection of venous blood by venipuncture 908 746 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 783 595 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,274 940 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 1,921 1,451 $0.00
1000F 1,586 1,054 $0.00
Z1034 512 367 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 312 226 $0.00
1036F 536 365 $0.00
G0443 Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes 55 31 $0.00
3079F 1,180 762 $0.00
H0049 Alcohol and/or drug screening 1,158 762 $0.00
1031F 617 430 $0.00
90688 47 43 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 139 110 $0.00
96161 371 257 $0.00
Z6204 77 76 $0.00
Z6402 24 24 $0.00
3075F 576 380 $0.00
90697 34 26 $0.00
Z6406 63 60 $0.00
82962 137 106 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 48 37 $0.00
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 23 16 $0.00
86803 54 41 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 15 12 $0.00
1034F 22 12 $0.00
Z1032 17 13 $0.00
90698 13 12 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 2,028 1,459 $0.00
G9919 Screening performed and positive and provision of recommendations 216 155 $0.00
3078F 4,290 2,630 $0.00
1160F 239 165 $0.00
90461 329 249 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 493 385 $0.00
1159F 240 166 $0.00
90832 Psychotherapy, 30 minutes with patient 33 28 $0.00
Z6304 57 57 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,686 1,210 $0.00
3077F 500 316 $0.00
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 71 44 $0.00
G0444 Annual depression screening, 5 to 15 minutes 815 550 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 297 213 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 182 139 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 252 178 $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) 1,077 771 $0.00
90670 61 55 $0.00
G8482 Influenza immunization administered or previously received 883 675 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 68 41 $0.00
90734 35 29 $0.00
Z6300 24 24 $0.00
90715 31 25 $0.00
Z6400 141 141 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 17 13 $0.00
98960 200 157 $0.00
3046F 31 24 $0.00
80061 Lipid panel 142 96 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 85 58 $0.00
90671 16 13 $0.00
90791 Psychiatric diagnostic evaluation 33 33 $0.00
90633 13 13 $0.00
Z6200 12 12 $0.00
G9920 Screening performed and negative 60 42 $0.00
4004F 37 24 $0.00
98966 15 12 $0.00
96160 18 13 $0.00