Medicaid Provider Spending

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

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

NPI: 1649481623 · EARLIMART, CA 93219 · Case Manager/Care Coordinator · NPI assigned 05/24/2007

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

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

$1.29M
Total Medicaid Paid
111,384
Total Claims
94,481
Beneficiaries
80
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
NPI Enumeration Date05/24/2007

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 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 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 10,124 $89K
2019 17,337 $244K
2020 17,501 $272K
2021 17,708 $284K
2022 12,238 $201K
2023 35,521 $178K
2024 955 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41,139 33,131 $606K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,586 7,039 $171K
98940 8,077 5,121 $125K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,213 3,689 $53K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,298 1,297 $53K
H1001 Prenatal care, at-risk enhanced service; antepartum management 1,014 672 $45K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,113 1,113 $38K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 899 898 $34K
G9920 Screening performed and negative 977 971 $27K
90834 Psychotherapy, 45 minutes with patient 1,292 844 $17K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 488 488 $12K
90688 1,316 1,305 $12K
81003 2,242 1,810 $10K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 240 240 $7K
99215 Prolong outpt/office vis 114 79 $7K
90686 2,015 2,012 $7K
96156 597 525 $6K
99401 823 623 $6K
92551 2,977 2,968 $6K
90791 Psychiatric diagnostic evaluation 130 127 $5K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 273 210 $5K
59425 183 128 $4K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 204 153 $4K
97803 426 322 $4K
99173 2,935 2,929 $3K
S9455 Diabetic management program, group session 101 95 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 42 42 $2K
71046 Radiologic examination, chest; 2 views 133 132 $2K
H1003 Prenatal care, at-risk enhanced service; education 159 98 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 428 417 $1K
90832 Psychotherapy, 30 minutes with patient 183 139 $1K
96151 237 187 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $1K
81025 176 171 $971.65
86580 99 99 $637.01
99238 Hospital discharge day management, 30 minutes or less 238 234 $635.84
11721 25 25 $463.82
90837 Psychotherapy, 53 minutes with patient 62 40 $425.60
99231 Subsequent hospital care, per day, straightforward or low complexity 165 118 $352.72
90647 163 163 $344.61
85018 1,024 1,020 $337.53
90670 364 364 $299.61
90651 250 249 $272.23
99460 77 77 $256.48
90630 125 125 $234.00
90710 41 41 $208.63
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 58 58 $103.58
92227 45 45 $99.81
90715 84 83 $94.49
83036 Hemoglobin; glycosylated (A1C) 25 25 $85.40
90681 12 12 $83.16
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 83 83 $78.24
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 28 28 $65.80
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) 318 316 $41.25
90633 116 115 $18.00
G0008 Administration of influenza virus vaccine 54 54 $11.00
90734 119 118 $9.00
90644 56 55 $9.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 286 280 $8.33
87428 114 109 $0.07
1160F 3,483 3,020 $0.00
3725F 2,344 2,056 $0.00
1159F 3,476 3,012 $0.00
3078F 2,378 2,110 $0.00
90700 40 40 $0.00
3077F 170 160 $0.00
90649 26 26 $0.00
A4550 Surgical trays 27 27 $0.00
3074F 2,374 2,101 $0.00
3008F 3,561 3,105 $0.00
1036F 2,573 2,242 $0.00
1126F 1,927 1,791 $0.00
90716 12 12 $0.00
3079F 398 381 $0.00
3075F 290 277 $0.00
1125F 109 91 $0.00
36415 Collection of venous blood by venipuncture 29 29 $0.00
90723 15 15 $0.00
90732 13 13 $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 66 50 $0.00