Unicare Community Health Center, INC.
Unicare Community Health Center, INC. was paid $9.29M by Medicaid between Jan 2018 and May 2024, across 169 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
SAN BERNARDINO, CA 92410
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 | |
|---|---|---|---|
| 2018 | 27,833 | $2.36M | |
| 2019 | 65,241 | $1.50M | |
| 2020 | 43,182 | $1.85M | |
| 2021 | 40,480 | $1.25M | |
| 2022 | 36,914 | $739K | |
| 2023 | 59,810 | $1.10M | |
| 2024incomplete | 35,072 | $508K |
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 | 93% | 51,568 | 43,196 | $8.63M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.7% | 17,228 | 12,524 | $251K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 26,262 | 17,925 | $140K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 554 | 524 | $96K |
| 59425 | <1% | 1,532 | 1,128 | $34K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 553 | 553 | $17K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 295 | 288 | $12K |
| 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% | 4,351 | 3,297 | $11K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 1,032 | 972 | $9K |
| 99000 | <1% | 7,832 | 6,820 | $7K | |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 51 | 51 | $6K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 231 | 181 | $6K |
157 more codes
| 92551 | <1% | 4,119 | $6K | |
| 94760 | <1% | 25,670 | $5K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 147 | $5K |
| 96156 | <1% | 4,533 | $5K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 723 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 783 | $4K |
| 92015 | Determination of refractive state | <1% | 746 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 995 | $4K |
| H1002 | Prenatal care, at risk enhanced service; care coordination | <1% | 30 | $3K |
| 86580 | <1% | 410 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 39 | $3K |
| J3490 | Unclassified drugs | <1% | 71 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 825 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 747 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 644 | $1K |
| 97802 | <1% | 1,366 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 6,484 | $1K |
| 81025 | <1% | 1,384 | $1K | |
| 97803 | <1% | 1,072 | $1K | |
| 90670 | <1% | 393 | $1K | |
| 90734 | <1% | 294 | $960.96 | |
| 59430 | <1% | 26 | $959.88 | |
| 90686 | <1% | 2,948 | $867.58 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 747 | $845.88 |
| 90710 | <1% | 45 | $700.00 | |
| 99385 | <1% | 151 | $677.76 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,267 | $617.04 |
| 99383 | <1% | 159 | $597.08 | |
| 90715 | <1% | 519 | $578.25 | |
| 99401 | <1% | 278 | $569.93 | |
| 99386 | <1% | 42 | $528.80 | |
| 85018 | <1% | 5,789 | $477.99 | |
| 99173 | <1% | 6,929 | $411.48 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 474 | $407.10 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,353 | $380.12 |
| 81002 | <1% | 1,712 | $303.48 | |
| 82962 | <1% | 2,529 | $270.28 | |
| 99384 | <1% | 107 | $195.36 | |
| 90696 | <1% | 36 | $155.70 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $150.51 |
| 96151 | <1% | 17 | $124.95 | |
| 90674 | <1% | 129 | $98.63 | |
| 90633 | <1% | 389 | $89.10 | |
| 83655 | <1% | 95 | $84.16 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 52 | $76.12 |
| 90688 | <1% | 179 | $75.00 | |
| 3008F | <1% | 44,795 | $72.00 | |
| 90648 | <1% | 161 | $62.37 | |
| 69210 | <1% | 61 | $60.44 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 138 | $52.34 |
| 90651 | <1% | 596 | $44.55 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 359 | $34.69 |
| G9920 | Screening performed and negative | <1% | 580 | $28.71 |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 145 | $28.71 |
| 96127 | <1% | 452 | $24.05 | |
| 90716 | <1% | 73 | $8.91 | |
| 99402 | <1% | 91 | $8.33 | |
| Z6400 | 0% | 394 | $0.00 | |
| 90461 | 0% | 1,069 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 8,027 | $0.00 |
| 1160F | 0% | 2,315 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 7,027 | $0.00 |
| 3078F | 0% | 3,222 | $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% | 2,272 | $0.00 |
| 3077F | 0% | 70 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 2,008 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 1,832 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 507 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 4,633 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 470 | $0.00 |
| 1159F | 0% | 2,405 | $0.00 | |
| 98960 | 0% | 219 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 534 | $0.00 |
| S9470 | Nutritional counseling, dietitian visit | 0% | 194 | $0.00 |
| Z6304 | 0% | 171 | $0.00 | |
| Z6500 | 0% | 129 | $0.00 | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 173 | $0.00 |
| 90756 | 0% | 126 | $0.00 | |
| Z6414 | 0% | 77 | $0.00 | |
| 90671 | 0% | 53 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 104 | $0.00 |
| 96160 | 0% | 250 | $0.00 | |
| 90707 | 0% | 21 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 323 | $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% | 77 | $0.00 |
| 90658 | 0% | 134 | $0.00 | |
| Z6208 | 0% | 13 | $0.00 | |
| 80061 | Lipid panel | 0% | 30 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 891 | $0.00 |
| 90700 | 0% | 56 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 19 | $0.00 |
| 90713 | 0% | 14 | $0.00 | |
| 99382 | 0% | 35 | $0.00 | |
| 3725F | 0% | 12 | $0.00 | |
| 2028F | 0% | 58 | $0.00 | |
| 99442 | 0% | 93 | $0.00 | |
| 91321 | 0% | 30 | $0.00 | |
| Z6308 | 0% | 13 | $0.00 | |
| 80074 | 0% | 21 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 72 | $0.00 |
| 91312 | 0% | 26 | $0.00 | |
| 87902 | 0% | 16 | $0.00 | |
| 90682 | 0% | 13 | $0.00 | |
| Z6410 | 0% | 1,272 | $0.00 | |
| 3074F | 0% | 3,236 | $0.00 | |
| 4000F | 0% | 54 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 754 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 8,484 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 890 | $0.00 |
| 1036F | 0% | 2,550 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 870 | $0.00 |
| 96161 | 0% | 531 | $0.00 | |
| Z1034 | 0% | 1,897 | $0.00 | |
| Z6406 | 0% | 244 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 149 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 569 | $0.00 |
| 3075F | 0% | 341 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 909 | $0.00 |
| Z6204 | 0% | 173 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 187 | $0.00 |
| 1031F | 0% | 966 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,133 | $0.00 |
| 1000F | 0% | 2,394 | $0.00 | |
| 90677 | 0% | 60 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 2,066 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 310 | $0.00 |
| 90698 | 0% | 79 | $0.00 | |
| 99441 | 0% | 144 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 90723 | 0% | 17 | $0.00 | |
| 90744 | 0% | 56 | $0.00 | |
| 90697 | 0% | 119 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 17 | $0.00 |
| 86592 | 0% | 33 | $0.00 | |
| 86803 | 0% | 114 | $0.00 | |
| 3079F | 0% | 304 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 93 | $0.00 |
| 93000 | 0% | 27 | $0.00 | |
| 3351F | 0% | 21 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 148 | $0.00 |
| 1111F | 0% | 18 | $0.00 | |
| 3044F | 0% | 213 | $0.00 | |
| Z1038 | 0% | 42 | $0.00 | |
| 90620 | 0% | 23 | $0.00 | |
| Z1032 | 0% | 43 | $0.00 | |
| 90657 | 0% | 40 | $0.00 | |
| 87522 | Neg quan hep c or qual rna | 0% | 15 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 18 | $0.00 |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 13 | $0.00 |
| 98967 | 0% | 16 | $0.00 | |
| M1207 | Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety | 0% | 24 | $0.00 |
| G2061 | Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 5-10 minutes | 0% | 25 | $0.00 |
| 86317 | 0% | 16 | $0.00 | |
| G2062 | Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 11-20 minutes | 0% | 77 | $0.00 |
| 90619 | 0% | 18 | $0.00 | |
| G0443 | Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes | 0% | 46 | $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 | 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 | 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.