Medicaid Provider Spending

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

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

NPI: 1457724924 · FRESNO, CA 93705 · Case Manager/Care Coordinator · NPI assigned 11/05/2015

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

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

$10.24M
Total Medicaid Paid
361,931
Total Claims
284,963
Beneficiaries
114
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
NPI Enumeration Date11/05/2015

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 $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 MENDOTA CA $265K
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 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
2024 205,496 $4.35M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 55,453 42,380 $8.39M
00003 Internal/system code - not a standard HCPCS code 7,619 5,372 $1.49M
0001A 1,320 704 $59K
0002A 1,262 672 $57K
90834 Psychotherapy, 45 minutes with patient 3,115 2,230 $30K
0012A 672 385 $30K
0011A 675 391 $23K
0031A 380 217 $18K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 14,291 13,614 $18K
V2020 Frames, purchases 20,922 20,908 $14K
90832 Psychotherapy, 30 minutes with patient 2,216 1,667 $12K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 7,843 7,519 $11K
0004A 231 135 $10K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,215 18,504 $10K
92340 Fitting of spectacles, except for aphakia; monofocal 16,022 16,009 $10K
0064A 151 95 $7K
0071A 131 70 $6K
92015 Determination of refractive state 23,087 22,091 $6K
92341 4,016 4,014 $5K
90791 Psychiatric diagnostic evaluation 304 261 $5K
0013A 105 60 $5K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 1,660 929 $4K
G9920 Screening performed and negative 1,065 843 $4K
0072A 67 40 $3K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 662 487 $2K
0034A 26 15 $1K
0124A 14 14 $898.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,966 1,920 $675.54
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,142 7,368 $563.19
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 112 91 $213.89
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,983 3,292 $173.25
92002 271 271 $110.34
90686 509 461 $99.00
G9919 Screening performed and positive and provision of recommendations 36 36 $87.00
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 338 334 $73.56
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 908 808 $68.90
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 255 232 $5.90
81003 1,242 1,061 $3.65
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,443 1,146 $0.02
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 120 103 $0.00
3725F 17,885 11,788 $0.00
3077F 1,012 762 $0.00
90700 13 13 $0.00
D1110 Prophylaxis - adult 368 367 $0.00
3078F 12,312 9,170 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 236 235 $0.00
1160F 9,103 4,954 $0.00
90658 156 155 $0.00
90681 12 12 $0.00
D0270 548 540 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 646 594 $0.00
D0220 Intraoral - periapical first radiographic image 945 934 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 450 301 $0.00
D1120 Prophylaxis - child 711 708 $0.00
1159F 9,102 4,953 $0.00
98940 5,191 3,310 $0.00
99173 1,369 1,292 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 260 254 $0.00
D0274 Bitewings - four radiographic images 416 416 $0.00
81025 524 450 $0.00
D9430 904 877 $0.00
90633 144 140 $0.00
S3000 Diabetic indicator; retinal eye exam, dilated, bilateral 125 118 $0.00
90715 398 358 $0.00
90670 98 97 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 170 129 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 55 48 $0.00
D4341 154 56 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 103 101 $0.00
99215 Prolong outpt/office vis 21 21 $0.00
99382 14 14 $0.00
3074F 13,074 9,694 $0.00
82962 34 33 $0.00
1125F 3,598 2,686 $0.00
D0210 Intraoral - complete series of radiographic images 853 851 $0.00
3008F 18,196 12,848 $0.00
3079F 4,723 3,613 $0.00
3075F 3,148 2,438 $0.00
92551 1,281 1,217 $0.00
1034F 1,922 1,171 $0.00
83036 Hemoglobin; glycosylated (A1C) 710 697 $0.00
1036F 18,295 11,972 $0.00
D0120 Periodic oral evaluation - established patient 488 484 $0.00
85018 551 474 $0.00
1126F 14,596 10,899 $0.00
3080F 52 42 $0.00
D1208 Topical application of fluoride, excluding varnish 694 692 $0.00
D0230 Intraoral - periapical each additional radiographic image 3,403 832 $0.00
99383 111 107 $0.00
D0150 Comprehensive oral evaluation - new or established patient 1,175 1,175 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 496 370 $0.00
90677 132 128 $0.00
36415 Collection of venous blood by venipuncture 455 416 $0.00
92250 164 139 $0.00
87428 127 125 $0.00
90697 98 93 $0.00
90688 163 128 $0.00
Z1034 279 208 $0.00
Z1032 26 26 $0.00
D0603 557 557 $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) 63 51 $0.00
D1351 Sealant - per tooth 281 74 $0.00
D1206 Topical application of fluoride varnish 222 221 $0.00
D1310 52 52 $0.00
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 46 40 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 62 56 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 24 24 $0.00
90656 106 105 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 159 159 $0.00
1035F 134 63 $0.00
99385 25 25 $0.00
99384 14 14 $0.00
99381 12 12 $0.00
90792 Psychiatric diagnostic evaluation with medical services 36 36 $0.00