Medicaid Provider Spending

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

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

NPI: 1477979722 · PARLIER, CA 93648 · Case Manager/Care Coordinator · NPI assigned 03/11/2014

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

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

$48.02M
Total Medicaid Paid
1,059,300
Total Claims
794,639
Beneficiaries
165
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
NPI Enumeration Date03/11/2014

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 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 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 9,838 $975K
2019 12,576 $928K
2020 27,813 $1.30M
2021 130,127 $8.89M
2022 122,051 $8.69M
2023 282,369 $11.72M
2024 474,526 $15.52M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 211,218 166,022 $36.13M
00003 Internal/system code - not a standard HCPCS code 52,794 39,107 $10.96M
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 4,723 3,673 $163K
0001A 2,350 1,335 $106K
0002A 2,307 1,323 $105K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 159,752 102,573 $84K
90834 Psychotherapy, 45 minutes with patient 13,441 8,327 $77K
0012A 1,040 639 $46K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 26,134 13,849 $39K
90832 Psychotherapy, 30 minutes with patient 10,073 6,817 $38K
0004A 647 520 $33K
0011A 987 612 $32K
0064A 725 529 $29K
0071A 562 347 $24K
90791 Psychiatric diagnostic evaluation 1,448 992 $23K
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 6,215 6,121 $23K
0072A 492 341 $21K
98940 8,542 4,840 $20K
0031A 331 203 $15K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,789 11,793 $8K
0124A 164 164 $8K
G9920 Screening performed and negative 2,252 2,159 $7K
0134A 114 113 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 24,376 16,076 $5K
0034A 101 69 $4K
90792 Psychiatric diagnostic evaluation with medical services 555 451 $4K
90837 Psychotherapy, 53 minutes with patient 99 57 $3K
0013A 48 30 $2K
0003A 23 12 $1K
99460 1,162 799 $720.49
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,137 3,122 $650.91
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 255 192 $598.02
99238 Hospital discharge day management, 30 minutes or less 1,120 750 $450.81
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,363 1,349 $433.94
J3490 Unclassified drugs 67 51 $400.93
90846 Family psychotherapy without the patient present, 50 minutes 22 17 $397.56
81025 3,192 2,450 $218.40
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 393 286 $202.65
90688 2,503 2,086 $148.15
81003 10,105 7,590 $64.66
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 377 335 $57.20
82962 262 227 $51.69
92250 259 221 $39.82
96156 556 530 $31.04
85018 7,445 6,847 $20.57
92227 155 150 $10.72
99215 Prolong outpt/office vis 50 37 $7.22
86580 427 329 $3.33
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4,125 3,216 $0.06
87428 1,142 924 $0.03
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 3,981 3,781 $0.01
3074F 49,751 40,090 $0.00
D0150 Comprehensive oral evaluation - new or established patient 839 835 $0.00
3075F 7,513 6,510 $0.00
83036 Hemoglobin; glycosylated (A1C) 1,488 1,462 $0.00
Z1034 2,840 2,022 $0.00
1126F 32,784 27,782 $0.00
3008F 64,081 50,743 $0.00
90697 155 155 $0.00
3079F 10,690 8,991 $0.00
92551 8,464 7,223 $0.00
1036F 59,649 44,835 $0.00
Z6406 997 858 $0.00
99385 39 39 $0.00
D0120 Periodic oral evaluation - established patient 3,214 3,191 $0.00
D0272 Bitewings - two radiographic images 25 25 $0.00
D0210 Intraoral - complete series of radiographic images 439 433 $0.00
D0603 1,994 1,982 $0.00
D4342 228 159 $0.00
1125F 9,093 6,713 $0.00
90651 206 206 $0.00
D1351 Sealant - per tooth 474 204 $0.00
90677 358 357 $0.00
90686 2,119 1,735 $0.00
90619 175 175 $0.00
36415 Collection of venous blood by venipuncture 525 492 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 515 368 $0.00
D1208 Topical application of fluoride, excluding varnish 1,807 1,804 $0.00
D0230 Intraoral - periapical each additional radiographic image 15,558 3,805 $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) 645 456 $0.00
1034F 1,132 842 $0.00
D1310 325 325 $0.00
99205 Prolong outpt/office vis 52 45 $0.00
D0602 560 560 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 153 91 $0.00
92002 317 317 $0.00
93000 93 87 $0.00
Z6204 678 555 $0.00
D1206 Topical application of fluoride varnish 659 656 $0.00
91307 117 115 $0.00
90656 748 748 $0.00
3080F 231 183 $0.00
90647 50 50 $0.00
99462 83 49 $0.00
90620 31 24 $0.00
G0008 Administration of influenza virus vaccine 63 55 $0.00
91306 100 100 $0.00
Z6402 209 209 $0.00
H2000 Comprehensive multidisciplinary evaluation 15 13 $0.00
99383 19 18 $0.00
90696 34 34 $0.00
90716 49 49 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 17 16 $0.00
99384 29 26 $0.00
11730 23 12 $0.00
D1120 Prophylaxis - child 2,446 2,442 $0.00
3078F 48,784 39,459 $0.00
3725F 54,688 42,138 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,674 1,491 $0.00
99401 421 381 $0.00
Z6400 613 566 $0.00
92340 Fitting of spectacles, except for aphakia; monofocal 14 14 $0.00
90658 809 809 $0.00
D1110 Prophylaxis - adult 382 381 $0.00
99173 8,436 7,234 $0.00
1159F 21,207 15,670 $0.00
D0274 Bitewings - four radiographic images 2,403 2,397 $0.00
59025 Fetal non-stress test 240 95 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,847 1,572 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,653 2,327 $0.00
3077F 2,222 1,843 $0.00
D9430 1,893 1,835 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 561 501 $0.00
D0270 985 971 $0.00
D0220 Intraoral - periapical first radiographic image 2,171 2,133 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 411 381 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,493 1,326 $0.00
92015 Determination of refractive state 5,099 4,934 $0.00
90715 887 735 $0.00
1160F 21,208 15,671 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 265 246 $0.00
92134 174 157 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 491 345 $0.00
97803 102 79 $0.00
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 170 165 $0.00
90670 133 127 $0.00
90633 276 275 $0.00
Z6300 199 199 $0.00
11721 46 46 $0.00
S3000 Diabetic indicator; retinal eye exam, dilated, bilateral 470 400 $0.00
D2740 Crown - porcelain/ceramic 14 12 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 312 241 $0.00
D4341 329 170 $0.00
90644 18 12 $0.00
Z6304 692 670 $0.00
90734 83 78 $0.00
90649 276 223 $0.00
90681 27 27 $0.00
92083 17 12 $0.00
D2150 Silver amalgam - two surfaces, primary or permanent 34 24 $0.00
Z6200 113 113 $0.00
D1354 209 80 $0.00
90710 36 36 $0.00
90630 146 125 $0.00
D2140 31 25 $0.00
Z6308 16 16 $0.00
Z6414 26 26 $0.00
76514 12 12 $0.00
Z6208 12 12 $0.00
D4910 42 42 $0.00
90707 24 24 $0.00
91300 47 46 $0.00
H1003 Prenatal care, at-risk enhanced service; education 30 27 $0.00
92133 16 16 $0.00
L3040 Foot, arch support, removable, premolded, longitudinal, each 13 13 $0.00