Medicaid Provider Spending

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

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

NPI: 1285297754 · SELMA, CA 93662 · Case Manager/Care Coordinator · NPI assigned 04/19/2019

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

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

$3K
Total Medicaid Paid
78,888
Total Claims
57,557
Beneficiaries
58
Codes Billed
2020-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
NPI Enumeration Date04/19/2019

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 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
2020 16,719 $45.80
2021 18,928 $348.26
2022 13,217 $1K
2023 30,024 $997.85

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 337 263 $989.69
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,437 1,356 $879.14
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41,059 25,044 $779.02
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 669 669 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,898 1,798 $0.00
90670 313 313 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 343 343 $0.00
99173 1,553 1,549 $0.00
81003 1,894 1,191 $0.00
3078F 1,830 1,518 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 517 517 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 569 568 $0.00
90633 54 54 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,005 1,005 $0.00
1160F 2,548 1,996 $0.00
90734 72 72 $0.00
81025 712 683 $0.00
0124A 18 18 $0.00
91312 18 18 $0.00
90681 12 12 $0.00
3725F 1,655 1,306 $0.00
1159F 2,548 1,996 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 180 180 $0.00
90700 14 14 $0.00
0071A 51 51 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 173 172 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 31 31 $0.00
90649 43 43 $0.00
90685 12 12 $0.00
G9920 Screening performed and negative 121 120 $0.00
90715 29 29 $0.00
91311 13 12 $0.00
85018 1,212 1,184 $0.00
1036F 1,727 1,243 $0.00
3008F 2,375 1,927 $0.00
87428 186 180 $0.00
H1001 Prenatal care, at-risk enhanced service; antepartum management 1,394 757 $0.00
92551 1,332 1,328 $0.00
90647 270 270 $0.00
90688 1,104 1,102 $0.00
3074F 1,807 1,498 $0.00
1126F 2,152 1,791 $0.00
1125F 287 262 $0.00
90686 1,184 1,184 $0.00
82962 1,119 924 $0.00
0074A 13 13 $0.00
3079F 166 157 $0.00
90723 140 140 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 187 177 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 45 36 $0.00
3075F 182 166 $0.00
91307 106 103 $0.00
90620 14 14 $0.00
0064A 34 34 $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) 35 30 $0.00
91306 30 30 $0.00
0072A 42 42 $0.00
86580 17 12 $0.00