Medicaid Provider Spending

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

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

NPI: 1629621651 · HURON, CA 93234 · Case Manager/Care Coordinator · NPI assigned 07/18/2019

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

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

$13.00M
Total Medicaid Paid
356,973
Total Claims
228,532
Beneficiaries
125
Codes Billed
2020-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
NPI Enumeration Date07/18/2019

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 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
2020 28,627 $1.72M
2021 84,620 $4.54M
2022 53,972 $2.40M
2023 105,886 $2.20M
2024 83,868 $2.14M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 75,858 49,011 $9.68M
00003 Internal/system code - not a standard HCPCS code 17,683 13,549 $3.04M
0001A 1,265 710 $56K
0002A 1,117 627 $50K
0012A 881 595 $38K
0011A 1,010 670 $35K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 86,645 43,933 $23K
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 1,810 1,230 $18K
0064A 461 366 $15K
0071A 331 208 $11K
0004A 202 143 $9K
0031A 179 109 $8K
0072A 212 157 $7K
0013A 79 51 $3K
90832 Psychotherapy, 30 minutes with patient 331 237 $3K
0134A 70 63 $3K
90834 Psychotherapy, 45 minutes with patient 344 211 $2K
0034A 26 15 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,177 5,225 $1K
98940 3,503 2,265 $864.58
0124A 20 14 $670.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 407 352 $405.30
J3490 Unclassified drugs 177 130 $388.32
90791 Psychiatric diagnostic evaluation 20 18 $256.16
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,615 1,178 $236.58
81025 3,318 2,358 $215.60
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 1,787 1,275 $100.32
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 922 735 $34.69
81003 5,549 3,511 $10.59
85018 5,861 4,122 $1.89
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,727 2,410 $0.11
87428 323 224 $0.01
90633 409 306 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,076 775 $0.00
1159F 10,420 5,922 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 620 454 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 67 56 $0.00
90700 144 105 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,941 1,355 $0.00
Z6304 819 693 $0.00
99401 127 124 $0.00
3078F 12,542 9,255 $0.00
1160F 10,420 5,922 $0.00
D1120 Prophylaxis - child 209 206 $0.00
99173 4,150 2,961 $0.00
90715 473 360 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 26 26 $0.00
D0270 102 99 $0.00
90649 121 105 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,079 1,448 $0.00
D0274 Bitewings - four radiographic images 243 243 $0.00
D9430 250 242 $0.00
90670 870 638 $0.00
97803 163 143 $0.00
D0220 Intraoral - periapical first radiographic image 490 488 $0.00
91300 13 13 $0.00
3077F 700 548 $0.00
Z6400 287 269 $0.00
3725F 11,719 8,129 $0.00
D4341 57 29 $0.00
90734 34 25 $0.00
90710 35 26 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 173 108 $0.00
Z6300 145 143 $0.00
90707 41 32 $0.00
Z6200 59 59 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 148 146 $0.00
90658 105 103 $0.00
H1003 Prenatal care, at-risk enhanced service; education 17 12 $0.00
90644 80 60 $0.00
71046 Radiologic examination, chest; 2 views 31 30 $0.00
90713 19 16 $0.00
99499 13 13 $0.00
90681 12 12 $0.00
90630 18 13 $0.00
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 12 12 $0.00
36415 Collection of venous blood by venipuncture 635 495 $0.00
Z1034 847 546 $0.00
90697 33 33 $0.00
Z6406 165 162 $0.00
1036F 13,262 8,645 $0.00
3008F 13,230 9,708 $0.00
Z6402 58 58 $0.00
1125F 1,907 1,463 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 115 93 $0.00
Z6204 543 478 $0.00
90716 119 85 $0.00
3075F 1,718 1,411 $0.00
90647 816 581 $0.00
90686 1,077 876 $0.00
86580 381 296 $0.00
90688 799 647 $0.00
3079F 2,344 1,875 $0.00
93000 239 134 $0.00
92551 4,105 2,902 $0.00
1034F 791 483 $0.00
D0210 Intraoral - complete series of radiographic images 126 126 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 119 80 $0.00
D0230 Intraoral - periapical each additional radiographic image 1,618 380 $0.00
3080F 152 121 $0.00
96156 608 540 $0.00
90723 256 190 $0.00
3074F 12,630 9,265 $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) 41 39 $0.00
D0150 Comprehensive oral evaluation - new or established patient 156 153 $0.00
90677 144 142 $0.00
1126F 9,481 7,289 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 174 110 $0.00
D0120 Periodic oral evaluation - established patient 399 373 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 85 84 $0.00
90656 94 94 $0.00
D0601 94 93 $0.00
D1208 Topical application of fluoride, excluding varnish 210 206 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 209 145 $0.00
91307 130 126 $0.00
83036 Hemoglobin; glycosylated (A1C) 99 95 $0.00
D0603 132 132 $0.00
1035F 55 26 $0.00
91306 119 118 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 54 48 $0.00
90732 19 14 $0.00
H1001 Prenatal care, at-risk enhanced service; antepartum management 73 51 $0.00
90680 78 54 $0.00
90619 29 29 $0.00
90696 16 12 $0.00