United Health Centers of the San Joaquin Valley
United Health Centers of the San Joaquin Valley was paid $18.68M by Medicaid between Oct 2020 and Dec 2024, across 92 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 75% of everything it billed.
33Billing provider infoUNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
FRESNO, CA 93722
FRESNO, CA 93722
33aNPI1780220822assigned 11/25/2019
33bProvider typeCase Manager/Care Coordinator
28Total paid$18.68M
24GClaims474,356
24DCodes billed92
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#105 of 435
Median peer was paid$2.89M
This provider vs. median6.5×
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 | |
|---|---|---|---|
| 2020 | 3,309 | $252K | |
| 2021 | 74,843 | $4.54M | |
| 2022 | 76,721 | $4.27M | |
| 2023 | 136,501 | $4.42M | |
| 2024incomplete | 182,982 | $5.20M |
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 | 75% | 94,289 | 73,695 | $14.05M |
| 00003 | Internal/system code - not a standard HCPCS code | 23% | 22,608 | 17,470 | $4.32M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,470 | 1,317 | $55K |
| 0002A | <1% | 861 | 460 | $38K | |
| 0001A | <1% | 863 | 462 | $38K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,836 | 1,097 | $26K |
| 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% | 81,579 | 47,040 | $20K |
| 0012A | <1% | 442 | 244 | $19K | |
| 0011A | <1% | 495 | 275 | $19K | |
| 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% | 1,733 | 1,365 | $15K |
| 0004A | <1% | 315 | 204 | $14K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 353 | 247 | $13K |
80 more codes
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 18,436 | $12K |
| 0064A | <1% | 297 | $11K | |
| 0031A | <1% | 201 | $9K | |
| 0071A | <1% | 162 | $6K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 6,208 | $4K |
| 0072A | <1% | 112 | $4K | |
| G9920 | Screening performed and negative | <1% | 2,412 | $2K |
| 90837 | Psychotherapy session, about an hour | <1% | 26 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 4,384 | $554.26 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 19,288 | $484.60 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 380 | $427.50 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,121 | $342.97 |
| 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 | <1% | 256 | $277.55 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 3,500 | $49.78 |
| 81025 | <1% | 1,902 | $14.00 | |
| 81003 | <1% | 5,004 | $12.26 | |
| 92015 | Determination of refractive state | <1% | 4,816 | $8.01 |
| 82962 | <1% | 1,754 | $2.66 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,751 | $0.07 |
| 87428 | <1% | 145 | $0.04 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 42 | $0.01 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 99 | $0.00 |
| 99070 | 0% | 194 | $0.00 | |
| 3008F | 0% | 25,047 | $0.00 | |
| 3075F | 0% | 3,441 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 736 | $0.00 |
| 3079F | 0% | 4,735 | $0.00 | |
| 1125F | 0% | 2,598 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,292 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 41 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 772 | $0.00 |
| 85018 | 0% | 2,587 | $0.00 | |
| 3074F | 0% | 18,769 | $0.00 | |
| 1036F | 0% | 28,771 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 4,074 | $0.00 |
| 1034F | 0% | 1,501 | $0.00 | |
| 3080F | 0% | 188 | $0.00 | |
| 1126F | 0% | 15,043 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 758 | $0.00 |
| 92551 | 0% | 764 | $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% | 314 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 505 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 516 | $0.00 |
| 90688 | 0% | 432 | $0.00 | |
| D0603 | 0% | 204 | $0.00 | |
| D0602 | 0% | 346 | $0.00 | |
| 91307 | 0% | 44 | $0.00 | |
| 1035F | 0% | 222 | $0.00 | |
| 91306 | 0% | 36 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 49 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 92 | $0.00 |
| 93000 | 0% | 51 | $0.00 | |
| 90656 | 0% | 12 | $0.00 | |
| 3725F | 0% | 24,396 | $0.00 | |
| 1159F | 0% | 13,659 | $0.00 | |
| 90715 | 0% | 101 | $0.00 | |
| 3078F | 0% | 18,391 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 620 | $0.00 |
| 3077F | 0% | 1,070 | $0.00 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 1,331 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 1,078 | $0.00 |
| 1160F | 0% | 13,658 | $0.00 | |
| 99173 | 0% | 747 | $0.00 | |
| D4341 | 0% | 913 | $0.00 | |
| D4910 | 0% | 163 | $0.00 | |
| S3000 | Diabetic indicator; retinal eye exam, dilated, bilateral | 0% | 900 | $0.00 |
| D9430 | 0% | 953 | $0.00 | |
| 11720 | 0% | 285 | $0.00 | |
| D0270 | 0% | 279 | $0.00 | |
| 99499 | 0% | 16 | $0.00 | |
| 90658 | 0% | 80 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 283 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 264 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 526 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 177 | $0.00 |
| L3040 | Foot, arch support, removable, premolded, longitudinal, each | 0% | 54 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 76 | $0.00 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 18 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 21 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 23 | $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.