Unicare Community Health Center INC
Unicare Community Health Center INC was paid $4.29M by Medicaid between Nov 2020 and May 2024, across 118 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.
LOS ANGELES, CA 90057
Next to other Federally Qualified Health Center (FQHC) 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 | |
|---|---|---|---|
| 2020 | 1,085 | $96K | |
| 2021 | 29,220 | $1.49M | |
| 2022 | 20,477 | $791K | |
| 2023 | 46,311 | $1.36M | |
| 2024incomplete | 24,392 | $556K |
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% | 21,129 | 17,395 | $3.03M |
| 00003 | Internal/system code - not a standard HCPCS code | 28% | 6,349 | 5,381 | $1.22M |
| 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% | 9,902 | 7,452 | $14K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 345 | 283 | $7K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 858 | 523 | $7K |
| 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 | <1% | 1,839 | 1,266 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 494 | 317 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,905 | 1,541 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,356 | 2,009 | $1K |
| 90686 | <1% | 2,173 | 1,913 | $948.45 | |
| 90688 | <1% | 82 | 74 | $748.14 | |
| 96156 | <1% | 3,819 | 3,101 | $725.40 |
106 more codes
| 90461 | <1% | 1,127 | $695.02 | |
| 3008F | <1% | 15,706 | $182.00 | |
| 92551 | <1% | 2,847 | $165.63 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 381 | $135.00 |
| 99173 | <1% | 3,894 | $134.00 | |
| 99000 | <1% | 1,736 | $125.45 | |
| 94760 | <1% | 9,847 | $120.54 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 593 | $102.46 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 208 | $101.87 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 102 | $90.01 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 699 | $83.04 |
| 85018 | <1% | 2,293 | $75.51 | |
| 86580 | <1% | 125 | $62.61 | |
| 90670 | <1% | 391 | $60.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 167 | $56.00 |
| 90651 | <1% | 212 | $55.00 | |
| 81025 | <1% | 399 | $53.17 | |
| 99385 | <1% | 60 | $42.00 | |
| 90633 | <1% | 396 | $36.00 | |
| 90677 | <1% | 38 | $27.00 | |
| 90734 | <1% | 115 | $18.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 354 | $17.17 |
| 99384 | <1% | 34 | $14.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 691 | $0.00 |
| 97803 | 0% | 195 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 925 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 189 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 218 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 73 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 414 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 367 | $0.00 |
| 3078F | 0% | 2,512 | $0.00 | |
| Z6400 | 0% | 189 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 92 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 411 | $0.00 |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 100 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 364 | $0.00 |
| 3077F | 0% | 391 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 730 | $0.00 |
| D9430 | 0% | 72 | $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% | 374 | $0.00 |
| Z6500 | 0% | 12 | $0.00 | |
| D4341 | 0% | 78 | $0.00 | |
| 90715 | 0% | 80 | $0.00 | |
| Z6304 | 0% | 70 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 132 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 18 | $0.00 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 35 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 33 | $0.00 |
| 3725F | 0% | 16 | $0.00 | |
| 2014F | 0% | 71 | $0.00 | |
| 0521F | 0% | 82 | $0.00 | |
| 81002 | 0% | 14 | $0.00 | |
| 90713 | 0% | 20 | $0.00 | |
| 90681 | 0% | 40 | $0.00 | |
| 99401 | 0% | 17 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 96160 | 0% | 16 | $0.00 | |
| 90674 | 0% | 18 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 21 | $0.00 |
| D0602 | 0% | 119 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 261 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,472 | $0.00 |
| Z6204 | 0% | 71 | $0.00 | |
| 1031F | 0% | 650 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 674 | $0.00 |
| 1036F | 0% | 578 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 823 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 378 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 657 | $0.00 |
| 3079F | 0% | 443 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 840 | $0.00 |
| 3074F | 0% | 2,576 | $0.00 | |
| D0603 | 0% | 1,326 | $0.00 | |
| Z1034 | 0% | 1,449 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 194 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 542 | $0.00 |
| 90716 | 0% | 39 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 373 | $0.00 |
| 90697 | 0% | 156 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 813 | $0.00 |
| 1000F | 0% | 798 | $0.00 | |
| Z6410 | 0% | 237 | $0.00 | |
| 3080F | 0% | 256 | $0.00 | |
| 90698 | 0% | 65 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 502 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 134 | $0.00 |
| 97802 | 0% | 669 | $0.00 | |
| 3075F | 0% | 317 | $0.00 | |
| 96127 | 0% | 412 | $0.00 | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 17 | $0.00 |
| 96161 | 0% | 156 | $0.00 | |
| 3017F | 0% | 42 | $0.00 | |
| Z1032 | 0% | 74 | $0.00 | |
| 82962 | 0% | 32 | $0.00 | |
| 90744 | 0% | 131 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 41 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 750 | $0.00 |
| 99383 | 0% | 71 | $0.00 | |
| Z6406 | 0% | 70 | $0.00 | |
| 99381 | 0% | 14 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 40 | $0.00 |
| 90620 | 0% | 15 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 41 | $0.00 |
| 1125F | 0% | 83 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 17 | $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. | Ontario, CA | $18.52M |
| 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 | 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.