Medicaid Provider Spending

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

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

NPI: 1679198279 · FRESNO, CA 93701 · Case Manager/Care Coordinator · NPI assigned 06/10/2020

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

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

$9.62M
Total Medicaid Paid
274,488
Total Claims
193,635
Beneficiaries
90
Codes Billed
2021-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
NPI Enumeration Date06/10/2020

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 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
2021 12,526 $696K
2022 40,896 $2.44M
2023 97,210 $3.24M
2024 123,856 $3.25M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 44,725 35,738 $6.79M
00003 Internal/system code - not a standard HCPCS code 14,036 10,097 $2.71M
90834 Psychotherapy, 45 minutes with patient 2,354 1,591 $46K
90832 Psychotherapy, 30 minutes with patient 1,527 1,135 $21K
90791 Psychiatric diagnostic evaluation 316 232 $11K
98940 10,652 4,940 $9K
0004A 172 108 $8K
0002A 128 76 $6K
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 1,478 1,133 $6K
0064A 163 114 $6K
0001A 110 63 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45,802 27,461 $4K
0072A 82 57 $3K
0071A 60 32 $3K
0124A 34 31 $1K
0031A 25 13 $1K
0134A 15 14 $519.86
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,809 1,282 $285.28
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,563 987 $172.34
11720 648 524 $135.95
G9920 Screening performed and negative 196 167 $116.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,837 2,565 $37.50
90688 890 626 $24.94
81025 676 496 $5.60
87428 185 115 $0.02
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 414 311 $0.01
D9430 515 502 $0.00
D0274 Bitewings - four radiographic images 175 175 $0.00
3725F 16,741 12,291 $0.00
3078F 12,858 9,691 $0.00
81003 622 414 $0.00
D1110 Prophylaxis - adult 189 189 $0.00
90715 617 401 $0.00
1159F 8,317 5,478 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 336 228 $0.00
1160F 8,318 5,478 $0.00
D1120 Prophylaxis - child 137 136 $0.00
90658 88 88 $0.00
D0270 83 82 $0.00
3077F 1,842 1,462 $0.00
G9919 Screening performed and positive and provision of recommendations 41 38 $0.00
71046 Radiologic examination, chest; 2 views 13 13 $0.00
L3040 Foot, arch support, removable, premolded, longitudinal, each 145 91 $0.00
D0220 Intraoral - periapical first radiographic image 469 461 $0.00
99173 157 118 $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 119 119 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 12 12 $0.00
11719 92 68 $0.00
D4341 77 45 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 12 12 $0.00
99244 Office or other outpatient consultation, moderate to high complexity 45 45 $0.00
11056 59 41 $0.00
1036F 18,341 12,572 $0.00
1125F 4,524 3,397 $0.00
D0603 185 185 $0.00
82962 1,375 883 $0.00
3074F 14,227 10,530 $0.00
3008F 19,869 14,377 $0.00
3075F 3,546 2,966 $0.00
83036 Hemoglobin; glycosylated (A1C) 826 804 $0.00
1126F 10,852 8,333 $0.00
3079F 5,980 4,672 $0.00
3080F 819 658 $0.00
1034F 3,694 2,558 $0.00
D0120 Periodic oral evaluation - established patient 360 353 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 375 321 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 219 217 $0.00
D0230 Intraoral - periapical each additional radiographic image 1,877 408 $0.00
85018 170 127 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 14 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) 280 199 $0.00
90686 135 88 $0.00
99070 775 547 $0.00
D0210 Intraoral - complete series of radiographic images 256 256 $0.00
36415 Collection of venous blood by venipuncture 247 231 $0.00
D0150 Comprehensive oral evaluation - new or established patient 381 371 $0.00
1035F 74 39 $0.00
92551 157 120 $0.00
D1208 Topical application of fluoride, excluding varnish 284 282 $0.00
11055 14 13 $0.00
D0170 123 115 $0.00
91307 28 28 $0.00
D0601 114 114 $0.00
93000 99 60 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 49 41 $0.00
99205 Prolong outpt/office vis 36 35 $0.00
92227 91 62 $0.00
91306 16 16 $0.00
90677 47 46 $0.00
D1351 Sealant - per tooth 53 12 $0.00