Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Colton › NPI 1447604582
Clinic

Unicare Community Health Center, INC.

Unicare Community Health Center, INC. was paid $14.48M by Medicaid between Sep 2018 and May 2024, across 155 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.

33Billing provider infoUNICARE COMMUNITY HEALTH CENTER, INC.
COLTON, CA 92324
33aNPI1447604582assigned 04/14/2016
28Total paid$14.48M
24GClaims366,951
24DCodes billed155
24AFirst – last monthSep 2018 – May 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in California

Rank by total paid#232 of 826
Median peer was paid$4.05M
This provider vs. median3.6×

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 MACHKALYAN, AVETIK controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
20182,522$410K
201962,631$3.00M
2020104,142$4.24M
202159,004$2.46M
202237,561$1.35M
202363,365$2.12M
2024incomplete37,726$899K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 78% 66,399 56,130 $11.34M
00003 Internal/system code - not a standard HCPCS code 20% 15,550 11,820 $2.84M
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% 37,725 22,209 $89K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 4,795 3,994 $55K
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% 5,320 3,519 $33K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 8,534 5,235 $30K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 550 397 $26K
59425 <1% 840 605 $14K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 396 314 $12K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 3,704 2,533 $7K
92551 <1% 4,430 3,031 $5K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 910 865 $4K
143 more codes
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 1,935 $4K
94760 <1% 48,387 $3K
96156 <1% 2,951 $3K
93000 <1% 85 $1K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session <1% 402 $1K
90834 Psychotherapy session, about 45 minutes <1% 65 $799.89
90837 Psychotherapy session, about an hour <1% 22 $584.20
90686 <1% 3,358 $577.98
90792 Psychiatric diagnostic evaluation with medical services <1% 82 $571.29
99000 <1% 5,804 $558.94
99385 <1% 231 $342.30
90651 <1% 480 $311.25
81025 <1% 666 $308.00
92015 Determination of refractive state <1% 6,474 $296.37
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 362 $224.34
H1003 Prenatal care, at-risk enhanced service; education <1% 156 $185.02
69210 <1% 17 $170.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 706 $164.49
97802 <1% 763 $151.45
86580 <1% 163 $111.33
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 287 $109.90
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 153 $102.90
99401 <1% 96 $100.95
90715 <1% 113 $100.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 636 $87.70
3008F <1% 50,590 $24.00
81002 <1% 2,708 $21.50
85018 <1% 4,481 $12.36
82962 <1% 1,407 $2.00
D0230 Intraoral - periapical each additional radiographic image 0% 1,470 $0.00
D0150 Comprehensive oral evaluation - new or established patient 0% 844 $0.00
3075F 0% 481 $0.00
96161 0% 388 $0.00
Z6410 0% 1,057 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 0% 955 $0.00
36415 Collection of venous blood by venipuncture 0% 187 $0.00
H0049 Alcohol and/or drug screening 0% 1,072 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 6,130 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 548 $0.00
3074F 0% 3,501 $0.00
3079F 0% 653 $0.00
1000F 0% 1,161 $0.00
1036F 0% 2,361 $0.00
90698 0% 196 $0.00
99384 0% 282 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 3,493 $0.00
D0603 0% 1,548 $0.00
Z6406 0% 174 $0.00
1031F 0% 719 $0.00
99383 0% 320 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 0% 104 $0.00
Z6204 0% 151 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 698 $0.00
D1206 Topical application of fluoride varnish 0% 1,025 $0.00
90744 0% 153 $0.00
Z1034 0% 1,954 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 0% 181 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 0% 1,215 $0.00
D0120 Dental checkup, returning patient 0% 1,048 $0.00
96127 0% 305 $0.00
D1351 Sealant - per tooth 0% 521 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 671 $0.00
83036 Hemoglobin; glycosylated (A1C) 0% 310 $0.00
G8432 Depression screening not documented, reason not given 0% 73 $0.00
D0210 Intraoral - complete series of radiographic images 0% 923 $0.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 0% 40 $0.00
90688 0% 92 $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% 118 $0.00
2023F 0% 160 $0.00
99441 0% 1,029 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 0% 19 $0.00
90620 0% 41 $0.00
99406 0% 20 $0.00
Z1032 0% 119 $0.00
99386 0% 115 $0.00
99402 0% 72 $0.00
D0140 Limited oral evaluation - problem focused 0% 14 $0.00
90697 0% 53 $0.00
G8756 No documentation of blood pressure measurement, reason not given 0% 63 $0.00
1034F 0% 55 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 84 $0.00
D0602 0% 12 $0.00
96150 0% 38 $0.00
Z1038 0% 33 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 0% 19 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 0% 29 $0.00
D0601 0% 15 $0.00
1126F 0% 20 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 4,385 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 553 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 0% 255 $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% 3,973 $0.00
99173 0% 5,504 $0.00
82947 0% 467 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 4,792 $0.00
96160 0% 327 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 577 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 2,767 $0.00
G8785 Blood pressure reading not documented, reason not given 0% 943 $0.00
D4341 0% 55 $0.00
Z6304 0% 175 $0.00
98960 0% 1,241 $0.00
G8482 Influenza immunization administered or previously received 0% 4,898 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 0% 100 $0.00
D2150 Silver amalgam - two surfaces, primary or permanent 0% 323 $0.00
D0220 Intraoral - periapical first radiographic image 0% 1,901 $0.00
Z6400 0% 346 $0.00
90461 0% 1,381 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 761 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 192 $0.00
3078F 0% 3,405 $0.00
D1120 Dental cleaning, child 0% 708 $0.00
90670 0% 405 $0.00
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 0% 438 $0.00
99382 0% 73 $0.00
D0274 Bitewings - four radiographic images 0% 645 $0.00
G9920 Screening performed and negative 0% 309 $0.00
D1110 Prophylaxis - adult 0% 168 $0.00
D9430 0% 628 $0.00
99204 Doctor's office visit, new patient (more involved) 0% 165 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 0% 13 $0.00
2022F 0% 177 $0.00
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 0% 303 $0.00
D0145 Oral evaluation for a patient under three years of age 0% 124 $0.00
90734 0% 216 $0.00
Z6500 0% 135 $0.00
D2140 0% 70 $0.00
D0270 0% 13 $0.00
90633 0% 99 $0.00
3077F 0% 100 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 0% 40 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 83 $0.00
G0425 Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth 0% 79 $0.00
90756 0% 35 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 334 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 90 $0.00
90681 0% 21 $0.00
3725F 0% 32 $0.00
97803 0% 36 $0.00
88164 0% 18 $0.00
1159F 0% 107 $0.00
3046F 0% 20 $0.00
1160F 0% 81 $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 officialMACHKALYAN, AVETIK (CHIEF EXECUTIVE OFFICER)
Same official

Other billing entities under MACHKALYAN, AVETIK

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.