Medicaid Provider Spending

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

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

NPI: 1265087316 · FRESNO, CA 93710 · Case Manager/Care Coordinator · NPI assigned 08/06/2019

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

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

$16.06M
Total Medicaid Paid
334,331
Total Claims
284,626
Beneficiaries
90
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
NPI Enumeration Date08/06/2019

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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,006 $141K
2021 49,202 $3.85M
2022 47,129 $3.74M
2023 86,639 $4.11M
2024 149,355 $4.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 83,592 67,422 $11.78M
00003 Internal/system code - not a standard HCPCS code 22,511 16,824 $4.06M
0001A 980 532 $44K
0002A 938 510 $42K
0004A 390 247 $19K
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 1,781 1,446 $19K
0011A 480 272 $18K
0012A 387 224 $17K
0064A 375 219 $17K
0071A 201 105 $9K
0031A 153 86 $7K
0124A 89 89 $6K
0072A 123 65 $6K
0134A 75 75 $5K
0013A 94 52 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42,359 35,920 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,497 11,813 $886.32
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,015 7,823 $427.80
G9920 Screening performed and negative 289 273 $304.50
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 101 101 $219.23
G9919 Screening performed and positive and provision of recommendations 51 42 $58.00
81025 1,428 1,402 $25.20
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 75 70 $19.65
81003 3,263 3,137 $17.25
3078F 14,153 13,137 $0.00
3725F 17,337 15,033 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 3,344 3,285 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 876 863 $0.00
D9430 1,019 979 $0.00
90715 272 272 $0.00
1160F 7,579 6,636 $0.00
1159F 7,580 6,637 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,479 1,477 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 840 838 $0.00
3077F 525 490 $0.00
D1120 Prophylaxis - child 420 419 $0.00
90658 259 259 $0.00
D0274 Bitewings - four radiographic images 667 664 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 184 184 $0.00
D0220 Intraoral - periapical first radiographic image 1,172 1,149 $0.00
D1110 Prophylaxis - adult 377 377 $0.00
98940 2,254 1,791 $0.00
D4910 54 53 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 340 340 $0.00
99173 519 517 $0.00
90832 Psychotherapy, 30 minutes with patient 868 813 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 26 26 $0.00
90791 Psychiatric diagnostic evaluation 102 102 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 27 27 $0.00
D0270 350 348 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 203 150 $0.00
D4341 128 59 $0.00
3074F 14,765 13,626 $0.00
1036F 20,551 17,211 $0.00
1126F 7,878 7,388 $0.00
3008F 20,684 18,682 $0.00
3079F 4,313 4,074 $0.00
90688 641 632 $0.00
D0150 Comprehensive oral evaluation - new or established patient 614 612 $0.00
1125F 2,346 2,140 $0.00
85018 943 935 $0.00
90834 Psychotherapy, 45 minutes with patient 1,113 916 $0.00
1035F 175 144 $0.00
D4342 18 13 $0.00
3075F 3,191 3,044 $0.00
D0120 Periodic oral evaluation - established patient 753 750 $0.00
36415 Collection of venous blood by venipuncture 971 930 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 89 80 $0.00
D0210 Intraoral - complete series of radiographic images 514 509 $0.00
92551 505 501 $0.00
1034F 1,622 1,264 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 144 120 $0.00
D0602 118 117 $0.00
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 2,676 2,028 $0.00
83036 Hemoglobin; glycosylated (A1C) 644 643 $0.00
D0603 290 290 $0.00
87428 184 184 $0.00
3080F 148 142 $0.00
D0230 Intraoral - periapical each additional radiographic image 3,227 1,006 $0.00
D1208 Topical application of fluoride, excluding varnish 310 309 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 156 121 $0.00
90686 125 124 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 68 67 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 109 109 $0.00
90480 29 28 $0.00
92227 15 13 $0.00
99386 14 14 $0.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 12 12 $0.00
99243 139 139 $0.00
D1206 Topical application of fluoride varnish 36 35 $0.00