Medicaid Provider Spending

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

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

NPI: 1629640461 · CLOVIS, CA 93612 · Case Manager/Care Coordinator · NPI assigned 07/12/2021

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

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

$6.21M
Total Medicaid Paid
162,714
Total Claims
121,984
Beneficiaries
78
Codes Billed
2022-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
NPI Enumeration Date07/12/2021

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 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 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
2022 16,838 $1.13M
2023 52,971 $2.10M
2024 92,905 $2.98M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 24,301 19,991 $3.67M
00003 Internal/system code - not a standard HCPCS code 12,780 9,205 $2.45M
90834 Psychotherapy, 45 minutes with patient 1,880 1,146 $50K
90791 Psychiatric diagnostic evaluation 601 453 $27K
90832 Psychotherapy, 30 minutes with patient 533 395 $10K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 2,546 1,340 $6K
G9920 Screening performed and negative 1,216 831 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,257 9,860 $654.64
0124A 27 21 $536.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,084 4,669 $477.39
G9919 Screening performed and positive and provision of recommendations 33 25 $203.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 177 132 $202.65
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,247 2,079 $136.65
99385 90 79 $114.10
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 524 338 $72.81
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 462 359 $57.20
81003 446 329 $1.96
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,529 1,042 $0.16
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $0.00
1160F 4,418 3,066 $0.00
D9430 606 591 $0.00
3078F 8,488 6,828 $0.00
3725F 12,530 9,504 $0.00
D0270 333 332 $0.00
D1120 Prophylaxis - child 423 422 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 99 77 $0.00
D1110 Prophylaxis - adult 430 429 $0.00
D0274 Bitewings - four radiographic images 411 409 $0.00
81025 200 143 $0.00
1159F 4,418 3,066 $0.00
90715 194 130 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 150 150 $0.00
D0220 Intraoral - periapical first radiographic image 621 606 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 73 73 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 272 201 $0.00
D4341 122 82 $0.00
99173 180 155 $0.00
3077F 597 505 $0.00
90658 159 159 $0.00
D4910 17 16 $0.00
91322 13 13 $0.00
91312 19 19 $0.00
1036F 13,490 9,655 $0.00
92551 190 169 $0.00
1126F 4,716 3,787 $0.00
3079F 2,936 2,480 $0.00
3008F 11,926 9,298 $0.00
36415 Collection of venous blood by venipuncture 129 125 $0.00
3080F 159 133 $0.00
1034F 1,258 906 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 550 411 $0.00
3075F 2,045 1,777 $0.00
D0120 Periodic oral evaluation - established patient 521 514 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 26 24 $0.00
3074F 8,893 7,111 $0.00
D0230 Intraoral - periapical each additional radiographic image 2,845 711 $0.00
90688 473 309 $0.00
D0602 140 140 $0.00
D0150 Comprehensive oral evaluation - new or established patient 768 761 $0.00
D0603 726 725 $0.00
D1206 Topical application of fluoride varnish 235 235 $0.00
D0210 Intraoral - complete series of radiographic images 604 598 $0.00
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 109 94 $0.00
D1208 Topical application of fluoride, excluding varnish 309 308 $0.00
1125F 2,308 1,815 $0.00
1035F 208 147 $0.00
90686 173 107 $0.00
85018 151 140 $0.00
99386 19 17 $0.00
90656 47 47 $0.00
D7140 Extraction, erupted tooth or exposed root 48 28 $0.00
92227 24 15 $0.00
90792 Psychiatric diagnostic evaluation with medical services 41 41 $0.00
D0140 Limited oral evaluation - problem focused 23 23 $0.00
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 13 12 $0.00
D4342 28 12 $0.00
D1351 Sealant - per tooth 40 12 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 25 15 $0.00