Medicaid Provider Spending

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

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

NPI: 1780220822 · FRESNO, CA 93722 · Case Manager/Care Coordinator · NPI assigned 11/25/2019

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

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

$18.68M
Total Medicaid Paid
474,356
Total Claims
328,110
Beneficiaries
92
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
NPI Enumeration Date11/25/2019

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 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 KERMAN CA $552K
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
2020 3,309 $252K
2021 74,843 $4.54M
2022 76,721 $4.27M
2023 136,501 $4.42M
2024 182,982 $5.20M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 94,289 73,695 $14.05M
00003 Internal/system code - not a standard HCPCS code 22,608 17,470 $4.32M
90834 Psychotherapy, 45 minutes with patient 2,470 1,317 $55K
0002A 861 460 $38K
0001A 863 462 $38K
90832 Psychotherapy, 30 minutes with patient 1,836 1,097 $26K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 81,579 47,040 $20K
0012A 442 244 $19K
0011A 495 275 $19K
G0467 Federally 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 1,733 1,365 $15K
0004A 315 204 $14K
90792 Psychiatric diagnostic evaluation with medical services 353 247 $13K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 18,436 8,356 $12K
0064A 297 182 $11K
0031A 201 107 $9K
0071A 162 93 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,208 4,205 $4K
0072A 112 71 $4K
G9920 Screening performed and negative 2,412 1,654 $2K
90837 Psychotherapy, 53 minutes with patient 26 14 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,384 2,937 $554.26
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 19,288 10,381 $484.60
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 380 300 $427.50
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,121 725 $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 256 254 $277.55
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,500 3,440 $49.78
81025 1,902 1,232 $14.00
81003 5,004 3,072 $12.26
92015 Determination of refractive state 4,816 4,682 $8.01
82962 1,754 974 $2.66
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,751 1,323 $0.07
87428 145 105 $0.04
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 42 26 $0.01
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 99 79 $0.00
99070 194 134 $0.00
3008F 25,047 18,795 $0.00
3075F 3,441 2,784 $0.00
D0150 Comprehensive oral evaluation - new or established patient 736 720 $0.00
3079F 4,735 3,822 $0.00
1125F 2,598 1,776 $0.00
36415 Collection of venous blood by venipuncture 1,292 1,000 $0.00
D1351 Sealant - per tooth 41 12 $0.00
D0120 Periodic oral evaluation - established patient 772 756 $0.00
85018 2,587 1,758 $0.00
3074F 18,769 14,208 $0.00
1036F 28,771 19,791 $0.00
D0230 Intraoral - periapical each additional radiographic image 4,074 953 $0.00
1034F 1,501 989 $0.00
3080F 188 148 $0.00
1126F 15,043 11,545 $0.00
D1208 Topical application of fluoride, excluding varnish 758 758 $0.00
92551 764 529 $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) 314 221 $0.00
83036 Hemoglobin; glycosylated (A1C) 505 501 $0.00
D0210 Intraoral - complete series of radiographic images 516 514 $0.00
90688 432 299 $0.00
D0603 204 204 $0.00
D0602 346 343 $0.00
91307 44 43 $0.00
1035F 222 154 $0.00
91306 36 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 49 45 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 92 70 $0.00
93000 51 50 $0.00
90656 12 12 $0.00
3725F 24,396 17,283 $0.00
1159F 13,659 8,781 $0.00
90715 101 68 $0.00
3078F 18,391 13,910 $0.00
D0274 Bitewings - four radiographic images 620 617 $0.00
3077F 1,070 835 $0.00
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,331 1,260 $0.00
D0220 Intraoral - periapical first radiographic image 1,078 1,045 $0.00
1160F 13,658 8,780 $0.00
99173 747 522 $0.00
D4341 913 527 $0.00
D4910 163 163 $0.00
S3000 Diabetic indicator; retinal eye exam, dilated, bilateral 900 705 $0.00
D9430 953 904 $0.00
11720 285 218 $0.00
D0270 279 272 $0.00
99499 16 16 $0.00
90658 80 80 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 283 166 $0.00
D1120 Prophylaxis - child 264 263 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 526 329 $0.00
D1110 Prophylaxis - adult 177 176 $0.00
L3040 Foot, arch support, removable, premolded, longitudinal, each 54 37 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 76 53 $0.00
D2150 Silver amalgam - two surfaces, primary or permanent 18 16 $0.00
G9919 Screening performed and positive and provision of recommendations 21 13 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 23 13 $0.00