United Health Centers of the San Joaquin Valley
United Health Centers of the San Joaquin Valley was paid $17.63M by Medicaid between Apr 2018 and Dec 2024, across 104 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 56% of everything it billed.
33Billing provider infoUNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
LEMOORE, CA 93245
LEMOORE, CA 93245
33aNPI1821593971assigned 03/29/2018
33bProvider typeCase Manager/Care Coordinator
28Total paid$17.63M
24GClaims276,095
24DCodes billed104
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#108 of 435
Median peer was paid$2.89M
This provider vs. median6.1×
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 | |
|---|---|---|---|
| 2018 | 7,319 | $913K | |
| 2019 | 17,405 | $1.73M | |
| 2020 | 82,141 | $6.47M | |
| 2021 | 46,644 | $3.21M | |
| 2022 | 25,295 | $1.72M | |
| 2023 | 43,392 | $1.88M | |
| 2024incomplete | 53,899 | $1.73M |
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 | 56% | 60,264 | 44,281 | $9.85M |
| 00003 | Internal/system code - not a standard HCPCS code | 42% | 40,319 | 27,949 | $7.48M |
| 0002A | <1% | 778 | 415 | $35K | |
| 0001A | <1% | 747 | 402 | $33K | |
| 0012A | <1% | 745 | 433 | $33K | |
| 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% | 1,989 | 1,481 | $28K |
| 0011A | <1% | 663 | 389 | $24K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 2,487 | 2,010 | $23K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 3,996 | 2,494 | $14K |
| 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% | 59,768 | 33,850 | $13K |
| V2020 | Frames, purchases | <1% | 667 | 661 | $12K |
| 0064A | <1% | 304 | 200 | $12K |
92 more codes
| 98940 | <1% | 4,052 | $11K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 510 | $9K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 681 | $8K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,168 | $8K |
| 92015 | Determination of refractive state | <1% | 3,626 | $6K |
| 0071A | <1% | 148 | $6K | |
| 0004A | <1% | 142 | $6K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 375 | $5K |
| 0072A | <1% | 121 | $5K | |
| 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% | 1,081 | $4K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 12,181 | $4K |
| 0031A | <1% | 56 | $3K | |
| 0013A | <1% | 42 | $2K | |
| S9455 | Diabetic management program, group session | <1% | 37 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,066 | $901.05 |
| G9920 | Screening performed and negative | <1% | 137 | $551.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 809 | $439.60 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,509 | $344.69 |
| 90688 | <1% | 627 | $101.15 | |
| 81025 | <1% | 1,041 | $44.80 | |
| 92250 | <1% | 25 | $37.92 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 53 | $24.00 |
| 81003 | <1% | 1,229 | $1.85 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,339 | $0.05 |
| 85018 | 0% | 1,448 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 711 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 189 | $0.00 |
| 3079F | 0% | 2,130 | $0.00 | |
| 1035F | 0% | 44 | $0.00 | |
| 3008F | 0% | 7,525 | $0.00 | |
| 92551 | 0% | 854 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 291 | $0.00 |
| 90686 | 0% | 429 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 719 | $0.00 |
| 1036F | 0% | 6,209 | $0.00 | |
| 1034F | 0% | 416 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 3,465 | $0.00 |
| D0602 | 0% | 151 | $0.00 | |
| 1125F | 0% | 331 | $0.00 | |
| 1126F | 0% | 5,995 | $0.00 | |
| 3075F | 0% | 1,095 | $0.00 | |
| 3074F | 0% | 5,506 | $0.00 | |
| 99243 | 0% | 289 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 327 | $0.00 |
| 90647 | 0% | 35 | $0.00 | |
| 96156 | 0% | 101 | $0.00 | |
| 87428 | 0% | 176 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 99 | $0.00 |
| 82962 | 0% | 57 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 47 | $0.00 |
| 3080F | 0% | 106 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 40 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 84 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 59 | $0.00 |
| 91306 | 0% | 36 | $0.00 | |
| D0601 | 0% | 60 | $0.00 | |
| D0603 | 0% | 29 | $0.00 | |
| 90723 | 0% | 13 | $0.00 | |
| 92227 | 0% | 52 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 592 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 598 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 775 | $0.00 |
| Z6308 | 0% | 12 | $0.00 | |
| 3077F | 0% | 396 | $0.00 | |
| 99173 | 0% | 853 | $0.00 | |
| D4341 | 0% | 215 | $0.00 | |
| S3000 | Diabetic indicator; retinal eye exam, dilated, bilateral | 0% | 311 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 93 | $0.00 |
| 3078F | 0% | 4,993 | $0.00 | |
| 71046 | Radiologic examination, chest; 2 views | 0% | 246 | $0.00 |
| 1160F | 0% | 3,841 | $0.00 | |
| 3725F | 0% | 5,807 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 126 | $0.00 |
| 1159F | 0% | 3,821 | $0.00 | |
| D0270 | 0% | 147 | $0.00 | |
| 90670 | 0% | 55 | $0.00 | |
| D9430 | 0% | 397 | $0.00 | |
| 90715 | 0% | 106 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 96 | $0.00 |
| D4910 | 0% | 28 | $0.00 | |
| Z6304 | 0% | 12 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 182 | $0.00 |
| 99201 | 0% | 62 | $0.00 | |
| 11721 | 0% | 108 | $0.00 | |
| 90658 | 0% | 30 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 22 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 182 | $0.00 |
| 90746 | 0% | 20 | $0.00 | |
| 11720 | 0% | 17 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 27 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 13 | $0.00 |
| 90633 | 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.
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.