Medicaid Provider Spending

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

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

NPI: 1427269521 · MENDOTA, CA 93640 · Case Manager/Care Coordinator · NPI assigned 05/24/2007

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

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

$265K
Total Medicaid Paid
333,147
Total Claims
291,301
Beneficiaries
124
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
NPI Enumeration Date05/24/2007

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 ORANGE COVE CA $151K
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY SANGER CA $96K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 45,351 $139K
2019 51,659 $38K
2020 40,183 $34K
2021 41,218 $24K
2022 51,703 $5K
2023 100,204 $15K
2024 2,829 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90834 Psychotherapy, 45 minutes with patient 2,574 2,067 $52K
90791 Psychiatric diagnostic evaluation 1,013 1,002 $34K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 7,072 5,031 $30K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 99,994 83,467 $22K
59425 3,452 1,987 $22K
S9455 Diabetic management program, group session 731 637 $22K
90832 Psychotherapy, 30 minutes with patient 929 728 $15K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 680 648 $13K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,731 5,723 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23,756 22,285 $6K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,228 3,203 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,289 3,287 $4K
G9920 Screening performed and negative 1,235 1,193 $4K
98940 1,570 1,115 $3K
99401 3,738 3,198 $2K
H1003 Prenatal care, at-risk enhanced service; education 2,121 1,616 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 857 857 $2K
90688 4,259 4,243 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10,838 10,120 $1K
90686 7,110 7,008 $1K
85018 15,280 15,133 $1K
90670 2,399 2,388 $1K
92551 6,428 6,390 $1K
90633 1,429 1,422 $900.00
90715 928 915 $856.86
86580 3,718 3,394 $713.04
81003 18,729 13,337 $703.98
97803 2,079 1,835 $691.02
90723 1,469 1,461 $675.00
96151 820 642 $674.54
59430 195 188 $582.90
90710 384 381 $540.00
90648 108 105 $486.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 551 518 $459.00
90792 Psychiatric diagnostic evaluation with medical services 12 12 $456.00
90647 1,834 1,798 $423.00
99173 6,854 6,837 $347.67
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 190 185 $326.29
90472 Immunization administration, each additional vaccine (list separately) 46 29 $315.00
96150 117 116 $300.42
90681 473 469 $297.00
90651 81 81 $279.00
71020 38 29 $192.39
99201 81 81 $172.71
90696 222 221 $171.00
J3490 Unclassified drugs 730 677 $156.00
97802 579 576 $147.79
96152 68 66 $138.93
90700 267 260 $126.00
81025 3,885 3,734 $111.54
59025 Fetal non-stress test 529 277 $109.90
90734 35 35 $99.00
82962 1,158 1,016 $81.69
90620 12 12 $54.00
92250 770 770 $42.13
96156 3,072 2,791 $25.23
S9452 Nutrition classes, non-physician provider, per session 248 247 $8.41
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,995 2,965 $0.11
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 766 756 $0.08
87428 434 427 $0.03
3725F 5,983 5,258 $0.00
90649 224 224 $0.00
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 382 382 $0.00
1159F 6,134 5,421 $0.00
S3000 Diabetic indicator; retinal eye exam, dilated, bilateral 470 470 $0.00
99499 575 575 $0.00
1160F 6,134 5,421 $0.00
3078F 7,046 6,274 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 679 672 $0.00
90707 180 179 $0.00
92015 Determination of refractive state 161 161 $0.00
0004A 39 39 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 40 40 $0.00
71046 Radiologic examination, chest; 2 views 127 127 $0.00
0071A 107 107 $0.00
90644 100 100 $0.00
91300 66 65 $0.00
0034A 17 17 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 82 82 $0.00
3077F 227 214 $0.00
90630 137 137 $0.00
92340 Fitting of spectacles, except for aphakia; monofocal 54 54 $0.00
99215 Prolong outpt/office vis 40 39 $0.00
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 41 41 $0.00
90685 53 51 $0.00
H1000 Prenatal care, at-risk assessment 24 24 $0.00
90621 13 13 $0.00
0002A 12 12 $0.00
V2020 Frames, purchases 47 47 $0.00
3074F 7,057 6,275 $0.00
90677 27 27 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 53 44 $0.00
1126F 3,152 2,966 $0.00
3008F 8,643 7,692 $0.00
3079F 953 915 $0.00
H1001 Prenatal care, at-risk enhanced service; antepartum management 9,138 5,536 $0.00
93000 109 106 $0.00
90716 357 343 $0.00
H2000 Comprehensive multidisciplinary evaluation 662 597 $0.00
3075F 814 785 $0.00
1036F 6,569 5,590 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 197 197 $0.00
0064A 73 73 $0.00
92227 26 26 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12 12 $0.00
90732 67 67 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 114 114 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 75 69 $0.00
99381 93 93 $0.00
0031A 118 118 $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) 77 77 $0.00
1125F 132 130 $0.00
0072A 199 199 $0.00
36415 Collection of venous blood by venipuncture 368 361 $0.00
91306 73 73 $0.00
1034F 18 15 $0.00
90697 24 24 $0.00
91307 312 295 $0.00
90674 13 13 $0.00
3080F 82 78 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 13 12 $0.00
99384 13 12 $0.00
91303 118 118 $0.00
90733 12 12 $0.00