United Health Centers of the San Joaquin Valley
United Health Centers of the San Joaquin Valley was paid $9.62M by Medicaid between May 2021 and Dec 2024, across 90 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 71% of everything it billed.
33Billing provider infoUNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
FRESNO, CA 93701
FRESNO, CA 93701
33aNPI1679198279assigned 06/10/2020
33bProvider typeCase Manager/Care Coordinator
28Total paid$9.62M
24GClaims274,488
24DCodes billed90
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#142 of 435
Median peer was paid$2.89M
This provider vs. median3.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LOPEZ, MARY LOU controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 12,526 | $696K | |
| 2022 | 40,896 | $2.44M | |
| 2023 | 97,210 | $3.24M | |
| 2024incomplete | 123,856 | $3.25M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 71% | 44,725 | 35,738 | $6.79M |
| 00003 | Internal/system code - not a standard HCPCS code | 28% | 14,036 | 10,097 | $2.71M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,354 | 1,591 | $46K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,527 | 1,135 | $21K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 316 | 232 | $11K |
| 98940 | <1% | 10,652 | 4,940 | $9K | |
| 0004A | <1% | 172 | 108 | $8K | |
| 0002A | <1% | 128 | 76 | $6K | |
| G0467 | Community health center visit, returning patientFederally 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% | 1,478 | 1,133 | $6K |
| 0064A | <1% | 163 | 114 | $6K | |
| 0001A | <1% | 110 | 63 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 45,802 | 27,461 | $4K |
78 more codes
| 0072A | <1% | 82 | $3K | |
| 0071A | <1% | 60 | $3K | |
| 0124A | <1% | 34 | $1K | |
| 0031A | <1% | 25 | $1K | |
| 0134A | <1% | 15 | $519.86 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,809 | $285.28 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,563 | $172.34 |
| 11720 | <1% | 648 | $135.95 | |
| G9920 | Screening performed and negative | <1% | 196 | $116.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 3,837 | $37.50 |
| 90688 | <1% | 890 | $24.94 | |
| 81025 | <1% | 676 | $5.60 | |
| 87428 | <1% | 185 | $0.02 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 414 | $0.01 |
| D9430 | 0% | 515 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 175 | $0.00 |
| 3725F | 0% | 16,741 | $0.00 | |
| 3078F | 0% | 12,858 | $0.00 | |
| 81003 | 0% | 622 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 189 | $0.00 |
| 90715 | 0% | 617 | $0.00 | |
| 1159F | 0% | 8,317 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 336 | $0.00 |
| 1160F | 0% | 8,318 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 137 | $0.00 |
| 90658 | 0% | 88 | $0.00 | |
| D0270 | 0% | 83 | $0.00 | |
| 3077F | 0% | 1,842 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 41 | $0.00 |
| 71046 | Radiologic examination, chest; 2 views | 0% | 13 | $0.00 |
| L3040 | Foot, arch support, removable, premolded, longitudinal, each | 0% | 145 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 469 | $0.00 |
| 99173 | 0% | 157 | $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 | 0% | 119 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 12 | $0.00 |
| 11719 | 0% | 92 | $0.00 | |
| D4341 | 0% | 77 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 12 | $0.00 |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 0% | 45 | $0.00 |
| 11056 | 0% | 59 | $0.00 | |
| 1036F | 0% | 18,341 | $0.00 | |
| 1125F | 0% | 4,524 | $0.00 | |
| D0603 | 0% | 185 | $0.00 | |
| 82962 | 0% | 1,375 | $0.00 | |
| 3074F | 0% | 14,227 | $0.00 | |
| 3008F | 0% | 19,869 | $0.00 | |
| 3075F | 0% | 3,546 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 826 | $0.00 |
| 1126F | 0% | 10,852 | $0.00 | |
| 3079F | 0% | 5,980 | $0.00 | |
| 3080F | 0% | 819 | $0.00 | |
| 1034F | 0% | 3,694 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 360 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 375 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 219 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 1,877 | $0.00 |
| 85018 | 0% | 170 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 14 | $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) | 0% | 280 | $0.00 |
| 90686 | 0% | 135 | $0.00 | |
| 99070 | 0% | 775 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 256 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 247 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 381 | $0.00 |
| 1035F | 0% | 74 | $0.00 | |
| 92551 | 0% | 157 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 284 | $0.00 |
| 11055 | 0% | 14 | $0.00 | |
| D0170 | 0% | 123 | $0.00 | |
| 91307 | 0% | 28 | $0.00 | |
| D0601 | 0% | 114 | $0.00 | |
| 93000 | 0% | 99 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 49 | $0.00 |
| 99205 | Prolong outpt/office vis | 0% | 36 | $0.00 |
| 92227 | 0% | 91 | $0.00 | |
| 91306 | 0% | 16 | $0.00 | |
| 90677 | 0% | 47 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 53 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.