Medicaid Provider Spending

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

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

NPI: 1336804939 · FRESNO, CA 93727 · Case Manager/Care Coordinator · NPI assigned 11/08/2021

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

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

$12.18M
Total Medicaid Paid
345,983
Total Claims
265,108
Beneficiaries
91
Codes Billed
2022-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
NPI Enumeration Date11/08/2021

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 $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
2022 11,129 $727K
2023 125,827 $4.52M
2024 209,027 $6.93M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 49,824 41,051 $8.44M
00003 Internal/system code - not a standard HCPCS code 17,616 12,933 $3.70M
90834 Psychotherapy, 45 minutes with patient 857 478 $17K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 7,746 4,087 $9K
90832 Psychotherapy, 30 minutes with patient 492 381 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39,472 28,176 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,262 2,574 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,176 867 $426.78
G9920 Screening performed and negative 345 247 $377.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,647 1,251 $289.70
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,484 2,452 $213.91
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 939 815 $154.22
90688 164 145 $21.56
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 159 156 $14.58
83036 Hemoglobin; glycosylated (A1C) 1,242 1,228 $8.54
81003 2,071 1,664 $7.84
99215 Prolong outpt/office vis 39 34 $7.22
81025 585 494 $5.60
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 567 510 $0.02
1160F 12,297 8,435 $0.00
1159F 12,301 8,437 $0.00
92015 Determination of refractive state 3,787 3,742 $0.00
3078F 17,628 14,049 $0.00
D0274 Bitewings - four radiographic images 579 577 $0.00
3725F 24,835 18,980 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 198 193 $0.00
D0270 406 398 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 872 606 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,982 1,688 $0.00
S3000 Diabetic indicator; retinal eye exam, dilated, bilateral 684 542 $0.00
D1110 Prophylaxis - adult 495 492 $0.00
99173 915 772 $0.00
D2999 34 29 $0.00
D0220 Intraoral - periapical first radiographic image 1,441 1,395 $0.00
D9430 1,157 1,098 $0.00
3077F 1,794 1,426 $0.00
90715 348 339 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 364 348 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 154 139 $0.00
D1120 Prophylaxis - child 602 598 $0.00
D4341 604 333 $0.00
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 214 211 $0.00
90649 25 24 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 27 14 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 91 89 $0.00
71046 Radiologic examination, chest; 2 views 32 30 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 83 77 $0.00
90633 17 14 $0.00
72100 28 28 $0.00
92133 54 39 $0.00
D0330 Panoramic radiographic image 31 29 $0.00
D0150 Comprehensive oral evaluation - new or established patient 1,366 1,352 $0.00
3075F 4,667 3,839 $0.00
3074F 18,891 14,954 $0.00
1036F 29,523 21,424 $0.00
3079F 7,413 6,006 $0.00
1126F 19,748 15,658 $0.00
D7140 Extraction, erupted tooth or exposed root 247 158 $0.00
1034F 1,714 1,194 $0.00
3008F 27,398 21,153 $0.00
1125F 4,311 3,289 $0.00
D0602 207 206 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 844 674 $0.00
D1208 Topical application of fluoride, excluding varnish 689 686 $0.00
92551 974 819 $0.00
D0120 Periodic oral evaluation - established patient 707 701 $0.00
3080F 489 373 $0.00
D0603 1,049 1,042 $0.00
D0210 Intraoral - complete series of radiographic images 1,120 1,107 $0.00
85018 1,132 990 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 919 779 $0.00
87428 176 170 $0.00
D9310 235 210 $0.00
36415 Collection of venous blood by venipuncture 144 129 $0.00
D0230 Intraoral - periapical each additional radiographic image 4,549 1,083 $0.00
D1206 Topical application of fluoride varnish 226 224 $0.00
Z1034 367 288 $0.00
93000 520 392 $0.00
99205 Prolong outpt/office vis 193 164 $0.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 993 983 $0.00
92250 55 55 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 68 65 $0.00
99385 64 59 $0.00
90619 12 12 $0.00
92002 70 70 $0.00
99384 19 13 $0.00
90677 12 12 $0.00
90656 24 24 $0.00
D1351 Sealant - per tooth 48 13 $0.00
D4342 22 12 $0.00
D0140 Limited oral evaluation - problem focused 12 12 $0.00