Medicaid Provider Spending

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

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

NPI: 1558632570 · CORCORAN, CA 93212 · Case Manager/Care Coordinator · NPI assigned 01/23/2012

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

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

$14.64M
Total Medicaid Paid
295,418
Total Claims
220,964
Beneficiaries
106
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
NPI Enumeration Date01/23/2012

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 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 23,710 $2.38M
2019 41,937 $2.35M
2020 49,413 $2.01M
2021 42,012 $2.63M
2022 38,764 $2.11M
2023 46,379 $1.67M
2024 53,203 $1.49M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 64,854 50,790 $8.62M
00003 Internal/system code - not a standard HCPCS code 33,036 23,938 $5.58M
90834 Psychotherapy, 45 minutes with patient 2,978 1,340 $44K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41,568 26,175 $44K
0001A 893 480 $40K
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 1,204 833 $36K
98940 8,614 4,939 $36K
0002A 783 424 $35K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 6,610 6,199 $29K
0012A 415 252 $18K
0011A 441 263 $16K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5,042 4,617 $16K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,580 6,528 $15K
V2020 Frames, purchases 6,497 6,469 $14K
90791 Psychiatric diagnostic evaluation 867 520 $14K
90832 Psychotherapy, 30 minutes with patient 1,342 664 $12K
92340 Fitting of spectacles, except for aphakia; monofocal 5,416 5,389 $11K
92015 Determination of refractive state 12,257 11,384 $9K
0071A 200 111 $9K
0064A 205 132 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14,291 7,862 $8K
0072A 159 97 $6K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 185 169 $6K
0004A 70 42 $3K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 635 362 $2K
92341 822 821 $2K
0031A 40 22 $2K
59425 49 45 $1K
0013A 22 15 $950.00
S9455 Diabetic management program, group session 29 28 $870.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,247 1,003 $753.36
90688 386 371 $663.97
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 413 280 $532.96
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 342 341 $484.97
90715 79 66 $478.71
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 297 232 $448.74
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 327 259 $392.92
81025 2,180 1,615 $372.95
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 199 165 $311.61
90785 360 161 $248.32
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 83 58 $216.79
81003 3,458 2,511 $189.42
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 200 200 $189.00
85018 3,492 2,682 $183.53
82962 1,149 876 $176.38
92551 2,096 1,598 $149.97
J1885 Injection, ketorolac tromethamine, per 15 mg 68 58 $123.80
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 91 91 $121.49
99173 2,179 1,678 $111.62
90686 521 469 $108.00
86580 81 65 $44.36
99241 75 43 $36.72
87428 737 475 $0.16
3725F 6,436 5,163 $0.00
1160F 3,338 2,495 $0.00
D9430 237 226 $0.00
1159F 3,338 2,495 $0.00
3078F 7,004 5,771 $0.00
D0274 Bitewings - four radiographic images 455 453 $0.00
D0220 Intraoral - periapical first radiographic image 381 375 $0.00
D1120 Prophylaxis - child 408 404 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 16 16 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 248 174 $0.00
3077F 124 99 $0.00
90658 27 27 $0.00
D1110 Prophylaxis - adult 39 39 $0.00
90649 24 24 $0.00
D0270 49 47 $0.00
S3000 Diabetic indicator; retinal eye exam, dilated, bilateral 253 185 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 121 76 $0.00
D4341 33 19 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 19 13 $0.00
90734 23 15 $0.00
1126F 3,685 3,124 $0.00
3008F 8,820 7,148 $0.00
1036F 6,647 5,264 $0.00
D0120 Periodic oral evaluation - established patient 639 620 $0.00
1125F 316 209 $0.00
3074F 6,879 5,657 $0.00
1034F 61 39 $0.00
3079F 1,018 886 $0.00
D0230 Intraoral - periapical each additional radiographic image 3,156 737 $0.00
D1208 Topical application of fluoride, excluding varnish 419 419 $0.00
3075F 877 777 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 160 127 $0.00
D0150 Comprehensive oral evaluation - new or established patient 47 46 $0.00
D1351 Sealant - per tooth 170 48 $0.00
36415 Collection of venous blood by venipuncture 565 533 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 842 667 $0.00
D0272 Bitewings - two radiographic images 24 24 $0.00
83036 Hemoglobin; glycosylated (A1C) 53 52 $0.00
93000 25 12 $0.00
90732 17 12 $0.00
92227 15 14 $0.00
D7140 Extraction, erupted tooth or exposed root 19 17 $0.00
D1206 Topical application of fluoride varnish 12 12 $0.00
D0603 78 77 $0.00
91307 18 18 $0.00
D0210 Intraoral - complete series of radiographic images 15 15 $0.00
92250 12 12 $0.00
3080F 18 12 $0.00
90651 13 13 $0.00
90657 14 13 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 18 13 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $0.00
J3490 Unclassified drugs 17 12 $0.00