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.
COLTON, CA 92324
Next to other Federally Qualified Health Center (FQHC) 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 | 2,522 | $410K | |
| 2019 | 62,631 | $3.00M | |
| 2020 | 104,142 | $4.24M | |
| 2021 | 59,004 | $2.46M | |
| 2022 | 37,561 | $1.35M | |
| 2023 | 63,365 | $2.12M | |
| 2024incomplete | 37,726 | $899K |
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 | 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.
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. | Pomona, CA | $13.48M |
| 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.