United Health Centers of the San Joaquin Valley
United Health Centers of the San Joaquin Valley was paid $12.18M by Medicaid between Apr 2022 and Dec 2024, across 91 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 69% of everything it billed.
33Billing provider infoUNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
FRESNO, CA 93727
FRESNO, CA 93727
33aNPI1336804939assigned 11/08/2021
33bProvider typeCase Manager/Care Coordinator
28Total paid$12.18M
24GClaims345,983
24DCodes billed91
24AFirst – last monthApr 2022 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#131 of 435
Median peer was paid$2.89M
This provider vs. median4.2×
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 | |
|---|---|---|---|
| 2022 | 11,129 | $727K | |
| 2023 | 125,827 | $4.52M | |
| 2024incomplete | 209,027 | $6.93M |
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 | 69% | 49,824 | 41,051 | $8.44M |
| 00003 | Internal/system code - not a standard HCPCS code | 30% | 17,616 | 12,933 | $3.70M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 857 | 478 | $17K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 7,746 | 4,087 | $9K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 492 | 381 | $6K |
| 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% | 39,472 | 28,176 | $6K |
| 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% | 3,262 | 2,574 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,176 | 867 | $426.78 |
| G9920 | Screening performed and negative | <1% | 345 | 247 | $377.00 |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 1,647 | 1,251 | $289.70 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 2,484 | 2,452 | $213.91 |
| 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% | 939 | 815 | $154.22 |
79 more codes
| 90688 | <1% | 164 | $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 | <1% | 159 | $14.58 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,242 | $8.54 |
| 81003 | <1% | 2,071 | $7.84 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 39 | $7.22 |
| 81025 | <1% | 585 | $5.60 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 567 | $0.02 |
| 1160F | 0% | 12,297 | $0.00 | |
| 1159F | 0% | 12,301 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 3,787 | $0.00 |
| 3078F | 0% | 17,628 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 579 | $0.00 |
| 3725F | 0% | 24,835 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 198 | $0.00 |
| D0270 | 0% | 406 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 872 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 1,982 | $0.00 |
| S3000 | Diabetic indicator; retinal eye exam, dilated, bilateral | 0% | 684 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 495 | $0.00 |
| 99173 | 0% | 915 | $0.00 | |
| D2999 | 0% | 34 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 1,441 | $0.00 |
| D9430 | 0% | 1,157 | $0.00 | |
| 3077F | 0% | 1,794 | $0.00 | |
| 90715 | 0% | 348 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 364 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 154 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 602 | $0.00 |
| D4341 | 0% | 604 | $0.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 214 | $0.00 |
| 90649 | 0% | 25 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 27 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 91 | $0.00 |
| 71046 | Radiologic examination, chest; 2 views | 0% | 32 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 83 | $0.00 |
| 90633 | 0% | 17 | $0.00 | |
| 72100 | 0% | 28 | $0.00 | |
| 92133 | 0% | 54 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 31 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 1,366 | $0.00 |
| 3075F | 0% | 4,667 | $0.00 | |
| 3074F | 0% | 18,891 | $0.00 | |
| 1036F | 0% | 29,523 | $0.00 | |
| 3079F | 0% | 7,413 | $0.00 | |
| 1126F | 0% | 19,748 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 247 | $0.00 |
| 1034F | 0% | 1,714 | $0.00 | |
| 3008F | 0% | 27,398 | $0.00 | |
| 1125F | 0% | 4,311 | $0.00 | |
| D0602 | 0% | 207 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 844 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 689 | $0.00 |
| 92551 | 0% | 974 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 707 | $0.00 |
| 3080F | 0% | 489 | $0.00 | |
| D0603 | 0% | 1,049 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 1,120 | $0.00 |
| 85018 | 0% | 1,132 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 919 | $0.00 |
| 87428 | 0% | 176 | $0.00 | |
| D9310 | 0% | 235 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 144 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 4,549 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 226 | $0.00 |
| Z1034 | 0% | 367 | $0.00 | |
| 93000 | 0% | 520 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 193 | $0.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 993 | $0.00 |
| 92250 | 0% | 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 | 0% | 68 | $0.00 |
| 99385 | 0% | 64 | $0.00 | |
| 90619 | 0% | 12 | $0.00 | |
| 92002 | 0% | 70 | $0.00 | |
| 99384 | 0% | 19 | $0.00 | |
| 90677 | 0% | 12 | $0.00 | |
| 90656 | 0% | 24 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 48 | $0.00 |
| D4342 | 0% | 22 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 12 | $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.