United Health Centers of the San Joaquin Valley
United Health Centers of the San Joaquin Valley was paid $10.24M by Medicaid between Jan 2018 and Dec 2024, across 114 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 82% of everything it billed.
33Billing provider infoUNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
FRESNO, CA 93705
FRESNO, CA 93705
33aNPI1457724924assigned 11/05/2015
33bProvider typeCase Manager/Care Coordinator
28Total paid$10.24M
24GClaims361,931
24DCodes billed114
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#138 of 435
Median peer was paid$2.89M
This provider vs. median3.5×
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 | |
|---|---|---|---|
| 2018 | 5,784 | $486K | |
| 2019 | 5,030 | $324K | |
| 2020 | 1,486 | $69K | |
| 2021 | 21,888 | $1.35M | |
| 2022 | 26,071 | $1.22M | |
| 2023 | 96,176 | $2.44M | |
| 2024incomplete | 205,496 | $4.35M |
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 | 82% | 55,453 | 42,380 | $8.39M |
| 00003 | Internal/system code - not a standard HCPCS code | 15% | 7,619 | 5,372 | $1.49M |
| 0001A | <1% | 1,320 | 704 | $59K | |
| 0002A | <1% | 1,262 | 672 | $57K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 3,115 | 2,230 | $30K |
| 0012A | <1% | 672 | 385 | $30K | |
| 0011A | <1% | 675 | 391 | $23K | |
| 0031A | <1% | 380 | 217 | $18K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 14,291 | 13,614 | $18K |
| V2020 | Frames, purchases | <1% | 20,922 | 20,908 | $14K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,216 | 1,667 | $12K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 7,843 | 7,519 | $11K |
102 more codes
| 0004A | <1% | 231 | $10K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 23,215 | $10K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 16,022 | $10K |
| 0064A | <1% | 151 | $7K | |
| 0071A | <1% | 131 | $6K | |
| 92015 | Determination of refractive state | <1% | 23,087 | $6K |
| 92341 | <1% | 4,016 | $5K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 304 | $5K |
| 0013A | <1% | 105 | $5K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 1,660 | $4K |
| G9920 | Screening performed and negative | <1% | 1,065 | $4K |
| 0072A | <1% | 67 | $3K | |
| G0467 | Community health center visit, returning patient | <1% | 662 | $2K |
| 0034A | <1% | 26 | $1K | |
| 0124A | <1% | 14 | $898.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,966 | $675.54 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 10,142 | $563.19 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 112 | $213.89 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,983 | $173.25 |
| 92002 | <1% | 271 | $110.34 | |
| 90686 | <1% | 509 | $99.00 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 36 | $87.00 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 338 | $73.56 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 908 | $68.90 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 255 | $5.90 |
| 81003 | <1% | 1,242 | $3.65 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,443 | $0.02 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 120 | $0.00 |
| 3725F | 0% | 17,885 | $0.00 | |
| 3077F | 0% | 1,012 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 368 | $0.00 |
| 3078F | 0% | 12,312 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 236 | $0.00 |
| 1160F | 0% | 9,103 | $0.00 | |
| 90658 | 0% | 156 | $0.00 | |
| 90681 | 0% | 12 | $0.00 | |
| D0270 | 0% | 548 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 646 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 945 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 450 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 711 | $0.00 |
| 1159F | 0% | 9,102 | $0.00 | |
| 98940 | 0% | 5,191 | $0.00 | |
| 99173 | 0% | 1,369 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 260 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 416 | $0.00 |
| 81025 | 0% | 524 | $0.00 | |
| D9430 | 0% | 904 | $0.00 | |
| 90633 | 0% | 144 | $0.00 | |
| S3000 | Diabetic indicator; retinal eye exam, dilated, bilateral | 0% | 125 | $0.00 |
| 90715 | 0% | 398 | $0.00 | |
| 90670 | 0% | 98 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 170 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 55 | $0.00 |
| D4341 | 0% | 154 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 103 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 21 | $0.00 |
| 99382 | 0% | 14 | $0.00 | |
| 3074F | 0% | 13,074 | $0.00 | |
| 82962 | 0% | 34 | $0.00 | |
| 1125F | 0% | 3,598 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 853 | $0.00 |
| 3008F | 0% | 18,196 | $0.00 | |
| 3079F | 0% | 4,723 | $0.00 | |
| 3075F | 0% | 3,148 | $0.00 | |
| 92551 | 0% | 1,281 | $0.00 | |
| 1034F | 0% | 1,922 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 710 | $0.00 |
| 1036F | 0% | 18,295 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 488 | $0.00 |
| 85018 | 0% | 551 | $0.00 | |
| 1126F | 0% | 14,596 | $0.00 | |
| 3080F | 0% | 52 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 694 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 3,403 | $0.00 |
| 99383 | 0% | 111 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 1,175 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 496 | $0.00 |
| 90677 | 0% | 132 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 455 | $0.00 |
| 92250 | 0% | 164 | $0.00 | |
| 87428 | 0% | 127 | $0.00 | |
| 90697 | 0% | 98 | $0.00 | |
| 90688 | 0% | 163 | $0.00 | |
| Z1034 | 0% | 279 | $0.00 | |
| Z1032 | 0% | 26 | $0.00 | |
| D0603 | 0% | 557 | $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) | 0% | 63 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 281 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 222 | $0.00 |
| D1310 | 0% | 52 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 46 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 62 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 24 | $0.00 |
| 90656 | 0% | 106 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 159 | $0.00 |
| 1035F | 0% | 134 | $0.00 | |
| 99385 | 0% | 25 | $0.00 | |
| 99384 | 0% | 14 | $0.00 | |
| 99381 | 0% | 12 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 36 | $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.