Medicaid Provider Spending

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

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

NPI: 1710196670 · KERMAN, CA 93630 · Case Manager/Care Coordinator · NPI assigned 05/21/2007

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

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

$552K
Total Medicaid Paid
337,322
Total Claims
286,235
Beneficiaries
123
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
NPI Enumeration Date05/21/2007

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 EARLIMART CA $1.29M
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 39,727 $114K
2019 45,238 $57K
2020 42,165 $70K
2021 52,552 $80K
2022 51,222 $100K
2023 99,641 $49K
2024 6,777 $84K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,272 9,557 $114K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 14,023 9,603 $67K
90834 Psychotherapy, 45 minutes with patient 3,309 2,796 $59K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 128,544 99,191 $55K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,820 1,819 $38K
90791 Psychiatric diagnostic evaluation 1,027 1,023 $25K
V2020 Frames, purchases 2,424 2,413 $25K
90792 Psychiatric diagnostic evaluation with medical services 708 704 $24K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,263 2,263 $21K
92340 Fitting of spectacles, except for aphakia; monofocal 2,202 2,193 $21K
92015 Determination of refractive state 4,629 4,629 $14K
S9455 Diabetic management program, group session 448 419 $13K
98940 2,788 1,911 $11K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,317 1,276 $8K
99215 Prolong outpt/office vis 393 371 $7K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 232 224 $7K
90832 Psychotherapy, 30 minutes with patient 309 305 $6K
59425 534 419 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,228 2,226 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 32,501 26,715 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,319 2,317 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,326 1,311 $3K
90837 Psychotherapy, 53 minutes with patient 44 37 $2K
92551 4,905 4,879 $1K
G9920 Screening performed and negative 907 862 $1K
99401 1,337 1,177 $918.76
90715 870 850 $917.48
90688 2,811 2,803 $853.22
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 654 643 $755.62
85018 5,905 5,859 $656.22
90670 940 930 $621.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 251 247 $620.23
99201 189 189 $609.37
90472 Immunization administration, each additional vaccine (list separately) 56 31 $468.42
H1003 Prenatal care, at-risk enhanced service; education 395 359 $384.19
86580 1,821 1,755 $355.18
71020 58 47 $325.56
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,135 1,134 $314.74
99173 5,084 5,076 $278.18
90648 66 66 $252.00
90710 205 202 $252.00
90633 414 413 $234.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 55 50 $195.59
81025 1,692 1,618 $185.41
90723 504 500 $180.00
81003 5,273 4,674 $179.25
J1885 Injection, ketorolac tromethamine, per 15 mg 1,713 1,551 $170.76
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 110 109 $165.75
90686 2,736 2,714 $162.00
71046 Radiologic examination, chest; 2 views 778 754 $153.62
96151 42 36 $145.80
90647 547 541 $144.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 3,378 3,210 $138.00
J1040 Injection, methylprednisolone acetate, 80 mg 63 52 $110.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 553 407 $92.03
90681 24 24 $81.00
90696 115 110 $63.00
G9919 Screening performed and positive and provision of recommendations 33 33 $58.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 91 90 $47.16
90734 54 54 $45.00
82962 611 565 $41.67
72100 322 322 $28.62
72072 71 71 $23.31
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4,063 3,949 $0.28
87428 269 268 $0.02
3079F 2,000 1,898 $0.00
J3490 Unclassified drugs 373 366 $0.00
1126F 6,225 5,656 $0.00
3008F 8,431 7,594 $0.00
96156 1,336 1,202 $0.00
H1001 Prenatal care, at-risk enhanced service; antepartum management 1,704 1,366 $0.00
1036F 8,461 7,255 $0.00
3075F 1,239 1,179 $0.00
3074F 5,825 5,292 $0.00
H2000 Comprehensive multidisciplinary evaluation 31 31 $0.00
3080F 175 171 $0.00
91307 197 188 $0.00
1125F 183 177 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 239 223 $0.00
90656 69 69 $0.00
0072A 122 122 $0.00
1034F 46 41 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 148 145 $0.00
91306 107 106 $0.00
97802 53 53 $0.00
92250 15 15 $0.00
0064A 107 106 $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) 109 108 $0.00
90657 77 77 $0.00
90716 38 38 $0.00
V2784 Lens, polycarbonate or equal, any index, per lens 20 20 $0.00
72040 13 13 $0.00
99243 18 18 $0.00
99381 12 12 $0.00
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 44 43 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 18 14 $0.00
92227 55 51 $0.00
S9452 Nutrition classes, non-physician provider, per session 12 12 $0.00
3725F 7,997 6,954 $0.00
3078F 5,369 4,903 $0.00
1159F 7,731 6,827 $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 605 605 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 637 636 $0.00
3077F 578 547 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 510 509 $0.00
90649 289 286 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 238 237 $0.00
1160F 7,732 6,828 $0.00
97803 176 169 $0.00
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 40 40 $0.00
90644 103 103 $0.00
73562 184 145 $0.00
90707 24 24 $0.00
S3000 Diabetic indicator; retinal eye exam, dilated, bilateral 346 345 $0.00
82274 175 157 $0.00
90700 61 57 $0.00
91300 54 50 $0.00
0071A 75 75 $0.00
L3040 Foot, arch support, removable, premolded, longitudinal, each 29 29 $0.00
73030 66 61 $0.00
0004A 12 12 $0.00
99499 15 15 $0.00
0002A 14 14 $0.00