Medicaid Provider Spending

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

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

NPI: 1528478211 · REEDLEY, CA 93654 · Case Manager/Care Coordinator · NPI assigned 05/02/2014

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

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

$110.12M
Total Medicaid Paid
2,036,624
Total Claims
1,460,031
Beneficiaries
200
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
NPI Enumeration Date05/02/2014

Related Entities

Other providers sharing the same authorized official: LOPEZ, MARY LOU

ProviderCityStateTotal Paid
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 $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 28,119 $2.69M
2019 112,950 $7.18M
2020 272,798 $21.44M
2021 392,832 $27.99M
2022 234,035 $14.60M
2023 425,895 $16.68M
2024 569,995 $19.54M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 521,904 366,865 $87.36M
00003 Internal/system code - not a standard HCPCS code 99,219 69,590 $20.35M
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 8,132 5,592 $298K
0001A 6,779 3,734 $298K
0002A 6,422 3,550 $287K
0012A 5,027 2,990 $218K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 455,958 277,562 $203K
90834 Psychotherapy, 45 minutes with patient 14,738 8,612 $195K
0011A 5,415 3,198 $182K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 46,800 26,352 $110K
90832 Psychotherapy, 30 minutes with patient 9,471 5,898 $97K
0064A 1,997 1,358 $81K
0004A 1,414 1,001 $64K
0031A 1,303 746 $60K
0071A 1,213 669 $53K
90791 Psychiatric diagnostic evaluation 2,446 1,555 $49K
0072A 972 594 $42K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 41,770 34,311 $21K
98940 8,449 5,755 $20K
0124A 359 357 $15K
0013A 334 202 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15,348 11,709 $13K
0134A 286 284 $12K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 6,578 6,488 $11K
G9920 Screening performed and negative 4,831 3,670 $10K
0034A 184 102 $8K
90837 Psychotherapy, 53 minutes with patient 449 250 $6K
0003A 114 73 $5K
S9455 Diabetic management program, group session 149 122 $4K
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 1,794 1,786 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 31,305 19,657 $3K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 975 712 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 10,302 10,197 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,692 2,295 $2K
0074A 38 37 $1K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 49 44 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,523 2,666 $1K
90688 7,746 7,154 $1K
92015 Determination of refractive state 17,010 16,715 $1K
V2020 Frames, purchases 155 152 $1K
G9919 Screening performed and positive and provision of recommendations 349 271 $928.00
0154A 15 15 $897.55
91322 25 19 $875.52
0112A 16 16 $831.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,198 2,756 $827.20
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 929 753 $768.00
J3490 Unclassified drugs 166 166 $750.30
81025 7,268 6,318 $707.09
92340 Fitting of spectacles, except for aphakia; monofocal 260 259 $639.84
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,161 1,729 $620.55
90715 2,700 2,397 $536.42
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,004 2,837 $396.22
90670 1,703 1,580 $362.00
90480 119 115 $360.00
90732 109 109 $240.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,376 4,149 $227.90
99243 487 484 $214.20
90686 5,497 5,133 $210.74
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,084 1,788 $209.86
92551 13,199 12,048 $207.16
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,709 3,460 $194.35
99381 86 69 $139.12
99384 141 133 $136.76
81003 16,699 12,360 $135.73
90716 119 119 $134.70
92250 1,635 1,564 $121.77
99383 277 258 $113.98
85018 13,192 12,194 $87.78
93000 226 188 $78.09
90647 1,165 1,079 $72.00
92133 170 159 $60.96
99173 13,477 12,354 $59.60
H1001 Prenatal care, at-risk enhanced service; antepartum management 108 72 $57.15
90723 634 566 $54.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 118 111 $35.38
99401 306 285 $31.80
86580 745 707 $29.75
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,712 3,517 $28.45
90685 121 120 $18.00
82962 2,646 2,097 $10.11
90644 137 137 $9.00
90681 310 226 $9.00
90633 566 564 $9.00
90707 139 139 $9.00
90710 78 74 $9.00
90649 724 709 $9.00
90621 46 46 $9.00
90696 72 68 $9.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 338 337 $8.87
J1885 Injection, ketorolac tromethamine, per 15 mg 446 337 $5.38
J0696 Injection, ceftriaxone sodium, per 250 mg 13 13 $5.31
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 14,335 12,874 $0.62
87428 1,433 1,202 $0.08
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 989 823 $0.02
3725F 62,450 47,978 $0.00
3078F 59,454 47,824 $0.00
1160F 33,234 25,347 $0.00
D0270 929 917 $0.00
Z6304 1,943 1,715 $0.00
3077F 2,582 2,188 $0.00
Z6414 64 64 $0.00
D1120 Prophylaxis - child 2,315 2,304 $0.00
1159F 33,242 25,351 $0.00
D4341 672 380 $0.00
S3000 Diabetic indicator; retinal eye exam, dilated, bilateral 2,267 1,903 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 927 724 $0.00
D9430 2,528 2,413 $0.00
D0220 Intraoral - periapical first radiographic image 3,776 3,693 $0.00
D0274 Bitewings - four radiographic images 2,589 2,584 $0.00
Z6300 838 833 $0.00
Z6200 763 758 $0.00
90700 120 108 $0.00
90734 418 402 $0.00
Z6400 1,455 1,439 $0.00
92134 47 41 $0.00
G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv 28 28 $0.00
D1110 Prophylaxis - adult 773 764 $0.00
Z6308 121 120 $0.00
92020 17 14 $0.00
11720 362 269 $0.00
90658 537 535 $0.00
91313 106 106 $0.00
91312 129 129 $0.00
90630 103 92 $0.00
99382 74 74 $0.00
D2150 Silver amalgam - two surfaces, primary or permanent 47 41 $0.00
Z6208 67 66 $0.00
L3040 Foot, arch support, removable, premolded, longitudinal, each 206 142 $0.00
H1003 Prenatal care, at-risk enhanced service; education 67 67 $0.00
D2940 14 12 $0.00
92341 13 13 $0.00
92083 15 15 $0.00
99201 47 25 $0.00
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 12 12 $0.00
99244 Office or other outpatient consultation, moderate to high complexity 14 14 $0.00
97803 12 12 $0.00
91300 195 188 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 17 13 $0.00
D2140 18 13 $0.00
90713 12 12 $0.00
99499 15 15 $0.00
90746 12 12 $0.00
76514 12 12 $0.00
71046 Radiologic examination, chest; 2 views 29 29 $0.00
3074F 61,927 49,608 $0.00
3075F 11,056 9,800 $0.00
1036F 71,905 52,624 $0.00
1126F 46,836 38,855 $0.00
D0230 Intraoral - periapical each additional radiographic image 15,892 3,825 $0.00
3079F 15,645 13,603 $0.00
1034F 4,939 3,563 $0.00
D0150 Comprehensive oral evaluation - new or established patient 1,697 1,684 $0.00
D1206 Topical application of fluoride varnish 397 390 $0.00
83036 Hemoglobin; glycosylated (A1C) 2,135 2,095 $0.00
90677 321 318 $0.00
D1208 Topical application of fluoride, excluding varnish 2,429 2,417 $0.00
1125F 12,990 10,659 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 174 148 $0.00
D1310 145 144 $0.00
D0120 Periodic oral evaluation - established patient 3,234 3,195 $0.00
3008F 82,007 64,193 $0.00
36415 Collection of venous blood by venipuncture 651 628 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,175 955 $0.00
3080F 696 601 $0.00
99385 83 62 $0.00
1035F 1,186 860 $0.00
Z6204 1,091 1,021 $0.00
Z6406 1,743 1,544 $0.00
96156 278 263 $0.00
Z1034 2,082 1,180 $0.00
D0603 2,271 2,271 $0.00
92227 304 266 $0.00
D0210 Intraoral - complete series of radiographic images 1,236 1,227 $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) 781 604 $0.00
90697 445 440 $0.00
Z6402 626 622 $0.00
90792 Psychiatric diagnostic evaluation with medical services 90 90 $0.00
91303 34 29 $0.00
99495 103 82 $0.00
90620 99 90 $0.00
90656 445 441 $0.00
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 57 55 $0.00
29540 18 12 $0.00
97802 24 24 $0.00
91307 145 139 $0.00
D0272 Bitewings - two radiographic images 96 96 $0.00
99496 146 129 $0.00
90619 107 107 $0.00
D7140 Extraction, erupted tooth or exposed root 59 37 $0.00
D0602 140 139 $0.00
D1351 Sealant - per tooth 256 108 $0.00
96151 35 32 $0.00
36416 39 39 $0.00
99070 82 48 $0.00
90657 27 25 $0.00
91301 56 54 $0.00
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 12 12 $0.00
91306 222 220 $0.00
Z1032 27 27 $0.00
90680 14 14 $0.00