Medicaid Provider Spending

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

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

NPI: 1629599535 · SANGER, CA 93657 · Case Manager/Care Coordinator · NPI assigned 06/30/2017

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

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

$39.64M
Total Medicaid Paid
782,899
Total Claims
542,002
Beneficiaries
134
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
NPI Enumeration Date06/30/2017

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 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 52,489 $5.50M
2019 74,915 $5.55M
2020 104,866 $6.29M
2021 135,655 $7.82M
2022 94,755 $4.80M
2023 154,720 $4.90M
2024 165,499 $4.78M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 203,875 149,318 $29.53M
00003 Internal/system code - not a standard HCPCS code 56,133 36,983 $9.40M
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 50,084 29,014 $95K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 153,160 90,820 $79K
0001A 1,594 884 $71K
0002A 1,483 824 $66K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 8,623 7,200 $62K
90834 Psychotherapy, 45 minutes with patient 4,654 2,698 $42K
0012A 713 451 $31K
V2020 Frames, purchases 1,693 1,690 $30K
0011A 705 445 $24K
92340 Fitting of spectacles, except for aphakia; monofocal 1,358 1,356 $24K
0064A 574 398 $21K
0004A 452 311 $21K
90791 Psychiatric diagnostic evaluation 1,282 933 $18K
0071A 453 270 $17K
92015 Determination of refractive state 10,006 8,397 $16K
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 3,182 2,259 $15K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,280 1,112 $14K
0072A 374 243 $14K
0031A 208 118 $10K
90832 Psychotherapy, 30 minutes with patient 1,254 840 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 33,699 20,912 $6K
G9920 Screening performed and negative 1,754 1,216 $5K
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 1,317 1,306 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,715 2,591 $4K
0013A 77 44 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12,143 7,840 $3K
0134A 38 38 $2K
92341 53 53 $1K
0034A 26 16 $1K
0124A 27 27 $1K
90715 1,118 872 $1K
90837 Psychotherapy, 53 minutes with patient 110 53 $882.18
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 503 324 $710.80
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 146 111 $600.18
90688 3,338 2,819 $539.26
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 371 271 $350.02
81025 3,774 2,749 $251.21
85018 8,442 6,191 $204.06
98940 123 113 $199.72
G9919 Screening performed and positive and provision of recommendations 75 61 $174.00
90670 502 410 $145.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 208 167 $97.89
81003 7,448 5,095 $88.42
90686 2,451 2,082 $63.00
86580 569 530 $51.05
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 789 586 $45.58
J1885 Injection, ketorolac tromethamine, per 15 mg 435 329 $33.34
99173 4,329 3,155 $29.73
92551 4,416 3,185 $11.57
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 902 645 $7.34
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 6,125 4,619 $0.19
87428 523 355 $0.01
D9430 681 655 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 776 617 $0.00
D0274 Bitewings - four radiographic images 756 754 $0.00
1159F 10,793 7,820 $0.00
99215 Prolong outpt/office vis 2,140 1,175 $0.00
1160F 10,791 7,820 $0.00
D0220 Intraoral - periapical first radiographic image 1,071 1,055 $0.00
3078F 19,885 15,685 $0.00
S3000 Diabetic indicator; retinal eye exam, dilated, bilateral 1,350 1,072 $0.00
3725F 15,182 12,080 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 189 163 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 463 358 $0.00
D1120 Prophylaxis - child 762 745 $0.00
3077F 632 521 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 344 254 $0.00
D0270 297 293 $0.00
90472 Immunization administration, each additional vaccine (list separately) 13 13 $0.00
D4341 258 145 $0.00
90658 143 143 $0.00
90681 67 51 $0.00
90649 78 60 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 14 12 $0.00
90633 94 82 $0.00
92133 20 12 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 102 69 $0.00
99499 46 46 $0.00
11720 20 12 $0.00
D1110 Prophylaxis - adult 39 39 $0.00
90734 51 38 $0.00
91300 33 31 $0.00
59425 15 12 $0.00
D2150 Silver amalgam - two surfaces, primary or permanent 16 13 $0.00
3079F 6,099 4,999 $0.00
3008F 27,818 21,553 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 231 228 $0.00
83036 Hemoglobin; glycosylated (A1C) 127 125 $0.00
1126F 11,814 9,385 $0.00
1125F 5,657 4,140 $0.00
D0603 296 293 $0.00
1034F 741 536 $0.00
D0230 Intraoral - periapical each additional radiographic image 6,761 1,501 $0.00
99381 16 13 $0.00
D0210 Intraoral - complete series of radiographic images 197 197 $0.00
1036F 23,154 17,437 $0.00
3074F 21,601 16,904 $0.00
D0120 Periodic oral evaluation - established patient 1,011 1,002 $0.00
D1208 Topical application of fluoride, excluding varnish 706 697 $0.00
3080F 43 30 $0.00
3075F 3,757 3,155 $0.00
D1206 Topical application of fluoride varnish 113 111 $0.00
90723 219 178 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 92 78 $0.00
90647 334 271 $0.00
36415 Collection of venous blood by venipuncture 276 251 $0.00
92227 106 86 $0.00
H1001 Prenatal care, at-risk enhanced service; antepartum management 55 45 $0.00
82962 201 155 $0.00
90697 15 12 $0.00
D0150 Comprehensive oral evaluation - new or established patient 331 326 $0.00
D0272 Bitewings - two radiographic images 13 13 $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) 142 111 $0.00
93000 99 74 $0.00
90651 14 14 $0.00
91306 80 79 $0.00
90792 Psychiatric diagnostic evaluation with medical services 42 37 $0.00
91307 145 138 $0.00
99383 32 32 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 81 79 $0.00
D0602 121 119 $0.00
Z1034 104 76 $0.00
J3490 Unclassified drugs 54 54 $0.00
D0140 Limited oral evaluation - problem focused 76 75 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 159 91 $0.00
99205 Prolong outpt/office vis 22 12 $0.00
99441 25 25 $0.00
1035F 55 40 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 19 14 $0.00
90732 13 13 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 13 12 $0.00
90677 12 12 $0.00