Unicare Community Health Center, INC.
Unicare Community Health Center, INC. was paid $18.52M by Medicaid between Jan 2018 and Nov 2024, across 195 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 58% of everything it billed.
ONTARIO, CA 91762
Next to other Community Health Clinic/Center providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 45,381 | $3.75M | |
| 2019 | 52,622 | $2.46M | |
| 2020 | 101,210 | $2.92M | |
| 2021 | 125,309 | $2.96M | |
| 2022 | 115,957 | $2.04M | |
| 2023 | 145,738 | $2.33M | |
| 2024incomplete | 80,285 | $2.04M |
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 | 58% | 69,718 | 59,529 | $10.72M |
| 00003 | Internal/system code - not a standard HCPCS code | 21% | 21,332 | 17,270 | $3.84M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.5% | 67,858 | 49,974 | $1.01M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.0% | 18,795 | 14,420 | $743K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.2% | 7,596 | 5,058 | $406K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 15,081 | 12,011 | $274K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.4% | 2,522 | 2,095 | $261K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.1% | 6,528 | 5,529 | $205K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 759 | 723 | $93K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 788 | 652 | $88K |
| 97802 | <1% | 3,437 | 2,656 | $73K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,374 | 732 | $58K |
183 more codes
| H0049 | Alcohol and/or drug screening | <1% | 2,520 | $57K |
| 97803 | <1% | 2,516 | $52K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 444 | $51K |
| 59425 | <1% | 2,613 | $51K | |
| 94760 | <1% | 79,003 | $48K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,346 | $43K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 1,533 | $42K |
| 90837 | Psychotherapy session, about an hour | <1% | 542 | $41K |
| 92015 | Determination of refractive state | <1% | 7,783 | $41K |
| 96156 | <1% | 8,375 | $38K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 234 | $37K |
| 99401 | <1% | 1,161 | $37K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,519 | $22K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 245 | $21K |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 1,596 | $19K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,887 | $14K |
| 99173 | <1% | 11,784 | $11K | |
| 90686 | <1% | 5,834 | $10K | |
| 99000 | <1% | 15,816 | $9K | |
| 92551 | <1% | 7,105 | $9K | |
| 96160 | <1% | 955 | $8K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 216 | $6K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 617 | $6K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 190 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 757 | $5K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 932 | $5K |
| 82962 | <1% | 8,820 | $5K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 525 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 894 | $4K |
| 81025 | <1% | 3,040 | $4K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 1,212 | $4K |
| 96127 | <1% | 327 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 773 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,920 | $3K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 495 | $3K |
| 90715 | <1% | 445 | $3K | |
| G0467 | Community health center visit, returning patient | <1% | 149 | $2K |
| 88141 | <1% | 42 | $2K | |
| 90839 | <1% | 14 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,440 | $2K |
| 96161 | <1% | 516 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 507 | $1K |
| 85018 | <1% | 9,401 | $1K | |
| 81002 | <1% | 7,611 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 768 | $758.42 |
| G0466 | Community health center visit, new patient | <1% | 12 | $555.28 |
| 99383 | <1% | 317 | $492.58 | |
| 90688 | <1% | 293 | $451.00 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 71 | $447.75 |
| 90671 | <1% | 288 | $392.22 | |
| 90648 | <1% | 110 | $380.22 | |
| 3008F | <1% | 94,041 | $360.00 | |
| 86580 | <1% | 426 | $325.52 | |
| 99407 | <1% | 30 | $300.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 54 | $285.81 |
| 90633 | <1% | 275 | $145.65 | |
| 90651 | <1% | 699 | $130.82 | |
| 90723 | <1% | 22 | $124.74 | |
| 90696 | <1% | 42 | $115.83 | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 772 | $110.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,322 | $98.00 |
| 90680 | <1% | 16 | $89.10 | |
| 90461 | <1% | 2,019 | $84.00 | |
| 99384 | <1% | 146 | $75.98 | |
| 82947 | <1% | 2,607 | $70.76 | |
| 98960 | <1% | 2,007 | $65.00 | |
| 90677 | <1% | 55 | $46.82 | |
| 90619 | <1% | 139 | $29.00 | |
| 83655 | <1% | 80 | $21.26 | |
| 90670 | <1% | 488 | $21.00 | |
| 90674 | <1% | 104 | $20.00 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 30 | $16.82 |
| 90681 | <1% | 72 | $12.00 | |
| 98966 | <1% | 194 | $10.30 | |
| 90744 | <1% | 111 | $6.00 | |
| 90700 | <1% | 42 | $6.00 | |
| 90713 | <1% | 39 | $6.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 13,754 | $0.00 |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 391 | $0.00 |
| 3074F | 0% | 10,846 | $0.00 | |
| Z1034 | 0% | 2,110 | $0.00 | |
| 3079F | 0% | 1,610 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 4,798 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 12,737 | $0.00 |
| 1036F | 0% | 3,360 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 110 | $0.00 |
| 3075F | 0% | 863 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 197 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 3,270 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 3,576 | $0.00 |
| 3080F | 0% | 93 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 438 | $0.00 |
| 1000F | 0% | 2,601 | $0.00 | |
| 3044F | 0% | 281 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 288 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 362 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 711 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 1,440 | $0.00 |
| Z6410 | 0% | 852 | $0.00 | |
| 90697 | 0% | 280 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 2,090 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 680 | $0.00 |
| Z6406 | 0% | 219 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 543 | $0.00 |
| 1031F | 0% | 1,023 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 1,927 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 189 | $0.00 |
| 99205 | Prolong outpt/office vis | 0% | 14 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 999 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 349 | $0.00 |
| 2023F | 0% | 129 | $0.00 | |
| 99385 | 0% | 187 | $0.00 | |
| 87428 | 0% | 30 | $0.00 | |
| 86803 | 0% | 126 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 678 | $0.00 |
| 90716 | 0% | 43 | $0.00 | |
| 90698 | 0% | 90 | $0.00 | |
| G0406 | Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth | 0% | 550 | $0.00 |
| D0603 | 0% | 1,309 | $0.00 | |
| 99402 | 0% | 27 | $0.00 | |
| 3017F | 0% | 32 | $0.00 | |
| H0001 | Alcohol and/or drug assessment | 0% | 22 | $0.00 |
| Z6204 | 0% | 232 | $0.00 | |
| D0602 | 0% | 27 | $0.00 | |
| 1126F | 0% | 96 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 48 | $0.00 |
| Z6402 | 0% | 29 | $0.00 | |
| 99441 | 0% | 72 | $0.00 | |
| 1034F | 0% | 31 | $0.00 | |
| G0472 | Hepatitis c antibody screening, for individual at high risk and other covered indication(s) | 0% | 46 | $0.00 |
| 99386 | 0% | 60 | $0.00 | |
| Z1032 | 0% | 19 | $0.00 | |
| 1111F | 0% | 22 | $0.00 | |
| 90620 | 0% | 45 | $0.00 | |
| COVID | Covid-19 convalescent plasma | 0% | 15 | $0.00 |
| Z1038 | 0% | 25 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 12 | $0.00 |
| D1352 | 0% | 16 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 3,241 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 14,817 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 4,459 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 6,041 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 12,024 | $0.00 |
| 3078F | 0% | 10,380 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 518 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 2,846 | $0.00 |
| 90734 | 0% | 240 | $0.00 | |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 189 | $0.00 |
| 90756 | 0% | 330 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 2,016 | $0.00 |
| 1160F | 0% | 2,725 | $0.00 | |
| Z6400 | 0% | 804 | $0.00 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 0% | 329 | $0.00 |
| 3077F | 0% | 725 | $0.00 | |
| D9430 | 0% | 195 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 405 | $0.00 |
| Z6304 | 0% | 220 | $0.00 | |
| D4341 | 0% | 254 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 153 | $0.00 |
| 4004F | 0% | 144 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 200 | $0.00 |
| 1159F | 0% | 2,178 | $0.00 | |
| 96159 | 0% | 12 | $0.00 | |
| Z6500 | 0% | 212 | $0.00 | |
| 80061 | Lipid panel | 0% | 477 | $0.00 |
| 3046F | 0% | 19 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 411 | $0.00 |
| Z6300 | 0% | 30 | $0.00 | |
| 90658 | 0% | 59 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 136 | $0.00 |
| Z6200 | 0% | 30 | $0.00 | |
| D4910 | 0% | 39 | $0.00 | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 63 | $0.00 |
| G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | 0% | 16 | $0.00 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 197 | $0.00 |
| 2014F | 0% | 18 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 44 | $0.00 |
| 80074 | 0% | 19 | $0.00 | |
| 90710 | 0% | 45 | $0.00 | |
| 81003 | 0% | 15 | $0.00 | |
| Z6414 | 0% | 28 | $0.00 | |
| 91312 | 0% | 35 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Unicare Community Health Center INC | Riverside, CA | $19.88M |
| Unicare Community Health Center, INC. | Colton, CA | $14.48M |
| Unicare Community Health Center, INC. | Pomona, CA | $13.48M |
| Unicare Community Health Center, INC. | San Bernardino, CA | $9.29M |
| Unicare Community Health Center INC | Fontana, CA | $6.96M |
| Unicare Community Health Center, INC. | Fontana, CA | $6.83M |
| Unicare Community Health Center, INC. | Los Angeles, CA | $5.14M |
| Unicare Community Health Center INC | Los Angeles, CA | $4.29M |
| Unicare Community Health Center INC | San Bernardino, CA | $3.12M |
| Unicare Community Health Center INC | Corona, CA | $3.07M |
| Unicare Community Health Center INC | Ontario, CA | $2.69M |
| Unicare Community Health Center INC | Moreno Valley, CA | $2.57M |
| Unicare Community Health Center INC | San Bernardino, CA | $30K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.