United Health Centers of the San Joaquin Valley
United Health Centers of the San Joaquin Valley was paid $16.06M by Medicaid between Nov 2020 and Dec 2024, across 90 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 73% of everything it billed.
33Billing provider infoUNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
FRESNO, CA 93710
FRESNO, CA 93710
33aNPI1265087316assigned 08/06/2019
33bProvider typeCase Manager/Care Coordinator
28Total paid$16.06M
24GClaims334,331
24DCodes billed90
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#113 of 435
Median peer was paid$2.89M
This provider vs. median5.6×
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.
Entity ProliferationAuthorized official LOPEZ, MARY LOU controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 2,006 | $141K | |
| 2021 | 49,202 | $3.85M | |
| 2022 | 47,129 | $3.74M | |
| 2023 | 86,639 | $4.11M | |
| 2024incomplete | 149,355 | $4.23M |
Box 24 · Service lines
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 | 73% | 83,592 | 67,422 | $11.78M |
| 00003 | Internal/system code - not a standard HCPCS code | 25% | 22,511 | 16,824 | $4.06M |
| 0001A | <1% | 980 | 532 | $44K | |
| 0002A | <1% | 938 | 510 | $42K | |
| 0004A | <1% | 390 | 247 | $19K | |
| G0467 | Community health center visit, returning patientFederally 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% | 1,781 | 1,446 | $19K |
| 0011A | <1% | 480 | 272 | $18K | |
| 0012A | <1% | 387 | 224 | $17K | |
| 0064A | <1% | 375 | 219 | $17K | |
| 0071A | <1% | 201 | 105 | $9K | |
| 0031A | <1% | 153 | 86 | $7K | |
| 0124A | <1% | 89 | 89 | $6K |
78 more codes
| 0072A | <1% | 123 | $6K | |
| 0134A | <1% | 75 | $5K | |
| 0013A | <1% | 94 | $4K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 42,359 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 12,497 | $886.32 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 9,015 | $427.80 |
| G9920 | Screening performed and negative | <1% | 289 | $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 | <1% | 101 | $219.23 |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 51 | $58.00 |
| 81025 | <1% | 1,428 | $25.20 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 75 | $19.65 |
| 81003 | <1% | 3,263 | $17.25 | |
| 3078F | 0% | 14,153 | $0.00 | |
| 3725F | 0% | 17,337 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 3,344 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 876 | $0.00 |
| D9430 | 0% | 1,019 | $0.00 | |
| 90715 | 0% | 272 | $0.00 | |
| 1160F | 0% | 7,579 | $0.00 | |
| 1159F | 0% | 7,580 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 1,479 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 840 | $0.00 |
| 3077F | 0% | 525 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 420 | $0.00 |
| 90658 | 0% | 259 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 667 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 184 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 1,172 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 377 | $0.00 |
| 98940 | 0% | 2,254 | $0.00 | |
| D4910 | 0% | 54 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 340 | $0.00 |
| 99173 | 0% | 519 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 868 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 26 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 102 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 27 | $0.00 |
| D0270 | 0% | 350 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 203 | $0.00 |
| D4341 | 0% | 128 | $0.00 | |
| 3074F | 0% | 14,765 | $0.00 | |
| 1036F | 0% | 20,551 | $0.00 | |
| 1126F | 0% | 7,878 | $0.00 | |
| 3008F | 0% | 20,684 | $0.00 | |
| 3079F | 0% | 4,313 | $0.00 | |
| 90688 | 0% | 641 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 614 | $0.00 |
| 1125F | 0% | 2,346 | $0.00 | |
| 85018 | 0% | 943 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 1,113 | $0.00 |
| 1035F | 0% | 175 | $0.00 | |
| D4342 | 0% | 18 | $0.00 | |
| 3075F | 0% | 3,191 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 753 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 971 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 89 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 514 | $0.00 |
| 92551 | 0% | 505 | $0.00 | |
| 1034F | 0% | 1,622 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 144 | $0.00 |
| D0602 | 0% | 118 | $0.00 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 0% | 2,676 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 644 | $0.00 |
| D0603 | 0% | 290 | $0.00 | |
| 87428 | 0% | 184 | $0.00 | |
| 3080F | 0% | 148 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 3,227 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 310 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 156 | $0.00 |
| 90686 | 0% | 125 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 68 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 109 | $0.00 |
| 90480 | 0% | 29 | $0.00 | |
| 92227 | 0% | 15 | $0.00 | |
| 99386 | 0% | 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 | 0% | 12 | $0.00 |
| 99243 | 0% | 139 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 36 | $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.
From NPPES
Who's on the registration
Authorized officialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.