Unicare Community Health Center, INC.
Unicare Community Health Center, INC. was paid $13.48M by Medicaid between Jan 2018 and Dec 2024, across 186 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 70% of everything it billed.
POMONA, CA 91767
Next to other Community Health Clinic/Center 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 | 33,498 | $3.50M | |
| 2019 | 71,536 | $3.26M | |
| 2020 | 69,373 | $2.42M | |
| 2021 | 57,469 | $1.27M | |
| 2022 | 69,595 | $945K | |
| 2023 | 106,673 | $1.43M | |
| 2024incomplete | 95,342 | $664K |
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 | 70% | 59,877 | 49,939 | $9.41M |
| 00003 | Internal/system code - not a standard HCPCS code | 19% | 13,601 | 9,892 | $2.50M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.4% | 2,246 | 2,171 | $593K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 50,265 | 37,764 | $482K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 7,668 | 6,700 | $277K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 221 | 221 | $38K |
| J3490 | Unclassified drugs | <1% | 312 | 288 | $29K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 2,655 | 2,487 | $26K |
| 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% | 9,300 | 6,131 | $21K |
| 99000 | <1% | 17,065 | 14,462 | $15K | |
| 3008F | <1% | 60,941 | 43,278 | $11K | |
| 90686 | <1% | 6,361 | 5,280 | $9K |
174 more codes
| 96156 | <1% | 8,265 | $8K | |
| 98960 | <1% | 12,302 | $8K | |
| 90674 | <1% | 244 | $5K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 7,097 | $4K |
| 94760 | <1% | 37,430 | $4K | |
| 92551 | <1% | 6,938 | $4K | |
| 90688 | <1% | 317 | $3K | |
| 81025 | <1% | 1,837 | $3K | |
| 97803 | <1% | 4,941 | $2K | |
| 59425 | <1% | 73 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 117 | $2K |
| 85018 | <1% | 8,580 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 810 | $1K |
| 97802 | <1% | 4,428 | $1K | |
| 90715 | <1% | 241 | $1K | |
| 99173 | <1% | 11,147 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,307 | $1K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 189 | $951.13 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,038 | $899.32 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 468 | $861.61 |
| 99383 | <1% | 265 | $786.23 | |
| 81002 | <1% | 5,395 | $677.94 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,394 | $658.96 |
| 36425 | <1% | 185 | $656.08 | |
| 90633 | <1% | 1,035 | $637.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,765 | $599.26 |
| 87428 | <1% | 199 | $556.92 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,944 | $441.80 |
| 86580 | <1% | 542 | $439.77 | |
| 59430 | <1% | 142 | $434.99 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 682 | $413.83 |
| 90670 | <1% | 784 | $405.00 | |
| 99384 | <1% | 170 | $403.60 | |
| 90677 | <1% | 187 | $378.00 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 1,816 | $312.00 |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 359 | $302.76 |
| 90461 | <1% | 2,001 | $289.02 | |
| 1000F | <1% | 5,673 | $286.49 | |
| 90651 | <1% | 620 | $230.59 | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 1,721 | $225.22 |
| 90734 | <1% | 182 | $216.81 | |
| 82962 | <1% | 3,108 | $208.84 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,558 | $179.70 |
| 90658 | <1% | 168 | $147.17 | |
| 99385 | <1% | 23 | $144.10 | |
| S9470 | Nutritional counseling, dietitian visit | <1% | 792 | $133.92 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 9,337 | $118.00 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 172 | $114.40 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 138 | $109.90 |
| 3079F | <1% | 2,254 | $95.32 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 2,467 | $94.41 |
| 99382 | <1% | 116 | $93.32 | |
| 90744 | <1% | 363 | $81.00 | |
| G8482 | Influenza immunization administered or previously received | <1% | 7,411 | $77.09 |
| 99401 | <1% | 996 | $76.36 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,703 | $68.79 |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 2,430 | $65.21 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 3,649 | $65.21 |
| 2014F | <1% | 1,893 | $65.21 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 153 | $55.92 |
| 90698 | <1% | 258 | $54.00 | |
| 90619 | <1% | 39 | $54.00 | |
| G0406 | Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth | <1% | 983 | $50.34 |
| 99381 | <1% | 20 | $45.33 | |
| 96127 | <1% | 794 | $43.29 | |
| 90697 | <1% | 393 | $42.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 5,455 | $37.50 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 350 | $37.25 |
| 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 | <1% | 133 | $37.08 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 873 | $28.00 |
| 90671 | <1% | 108 | $27.00 | |
| 96161 | <1% | 884 | $22.50 | |
| 90713 | <1% | 38 | $18.00 | |
| 90620 | <1% | 36 | $15.00 | |
| 90710 | <1% | 90 | $9.00 | |
| H0049 | Alcohol and/or drug screening | <1% | 2,015 | $7.50 |
| 1036F | <1% | 6,505 | $5.09 | |
| 82947 | <1% | 131 | $3.30 | |
| 3044F | 0% | 1,034 | $0.00 | |
| Z1034 | 0% | 1,385 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 63 | $0.00 |
| 3074F | 0% | 10,914 | $0.00 | |
| 1031F | 0% | 2,216 | $0.00 | |
| 1126F | 0% | 86 | $0.00 | |
| 3075F | 0% | 1,128 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 2,257 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 527 | $0.00 |
| 90716 | 0% | 82 | $0.00 | |
| Z6410 | 0% | 437 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 1,575 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 841 | $0.00 |
| D0603 | 0% | 1,302 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 776 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 1,240 | $0.00 |
| Z6406 | 0% | 16 | $0.00 | |
| Z1032 | 0% | 63 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 584 | $0.00 |
| 86803 | 0% | 474 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 1,354 | $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% | 98 | $0.00 |
| G0472 | Hepatitis c antibody screening, for individual at high risk and other covered indication(s) | 0% | 514 | $0.00 |
| 86592 | 0% | 111 | $0.00 | |
| H2000 | Comprehensive multidisciplinary evaluation | 0% | 15 | $0.00 |
| 3080F | 0% | 192 | $0.00 | |
| G0443 | Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes | 0% | 22 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 193 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 150 | $0.00 |
| 99406 | 0% | 125 | $0.00 | |
| 4000F | 0% | 23 | $0.00 | |
| Z6402 | 0% | 24 | $0.00 | |
| G0123 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision | 0% | 43 | $0.00 |
| 3017F | 0% | 37 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 60 | $0.00 |
| 99441 | 0% | 119 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 37 | $0.00 |
| Z6204 | 0% | 30 | $0.00 | |
| 98967 | 0% | 21 | $0.00 | |
| D0601 | 0% | 12 | $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% | 16 | $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% | 17 | $0.00 |
| 1125F | 0% | 29 | $0.00 | |
| 90696 | 0% | 14 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 23 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 21 | $0.00 |
| 3078F | 0% | 10,457 | $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% | 5,564 | $0.00 |
| Z6400 | 0% | 485 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 392 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 49 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 6,043 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 605 | $0.00 |
| G9920 | Screening performed and negative | 0% | 909 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 696 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 2,428 | $0.00 |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 418 | $0.00 |
| 80061 | Lipid panel | 0% | 1,400 | $0.00 |
| 82274 | 0% | 137 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 262 | $0.00 |
| 3725F | 0% | 92 | $0.00 | |
| 90756 | 0% | 641 | $0.00 | |
| Z6500 | 0% | 89 | $0.00 | |
| 96160 | 0% | 911 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 949 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,615 | $0.00 |
| 1159F | 0% | 2,675 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 675 | $0.00 |
| 3051F | 0% | 73 | $0.00 | |
| D9430 | 0% | 187 | $0.00 | |
| 90685 | 0% | 59 | $0.00 | |
| 0521F | 0% | 30 | $0.00 | |
| D4341 | 0% | 106 | $0.00 | |
| 3077F | 0% | 644 | $0.00 | |
| Z6200 | 0% | 24 | $0.00 | |
| 1160F | 0% | 2,700 | $0.00 | |
| G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | 0% | 317 | $0.00 |
| G2089 | Most recent hemoglobin a1c (hba1c) level 7.0 to 9.0% | 0% | 20 | $0.00 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 234 | $0.00 |
| 92552 | 0% | 32 | $0.00 | |
| 3015F | 0% | 373 | $0.00 | |
| D2140 | 0% | 48 | $0.00 | |
| 3046F | 0% | 90 | $0.00 | |
| Z6304 | 0% | 29 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 65 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 55 | $0.00 |
| 2028F | 0% | 15 | $0.00 | |
| 90681 | 0% | 65 | $0.00 | |
| 99442 | 0% | 60 | $0.00 | |
| 90707 | 0% | 32 | $0.00 | |
| 90682 | 0% | 17 | $0.00 | |
| H1000 | Prenatal care, at-risk assessment | 0% | 16 | $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% | 16 | $0.00 |
| D4910 | 0% | 28 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 157 | $0.00 |
| Z6300 | 0% | 24 | $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. | San Bernardino, CA | $9.29M |
| 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.