Medicaid Provider Spending

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

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

NPI: 1821593971 · LEMOORE, CA 93245 · Case Manager/Care Coordinator · NPI assigned 03/29/2018

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

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

$17.63M
Total Medicaid Paid
276,095
Total Claims
189,501
Beneficiaries
104
Codes Billed
2018-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
NPI Enumeration Date03/29/2018

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 FRESNO CA $18.68M
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
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
2024 53,899 $1.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 60,264 44,281 $9.85M
00003 Internal/system code - not a standard HCPCS code 40,319 27,949 $7.48M
0002A 778 415 $35K
0001A 747 402 $33K
0012A 745 433 $33K
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 1,989 1,481 $28K
0011A 663 389 $24K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,487 2,010 $23K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 3,996 2,494 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 59,768 33,850 $13K
V2020 Frames, purchases 667 661 $12K
0064A 304 200 $12K
98940 4,052 2,416 $11K
92340 Fitting of spectacles, except for aphakia; monofocal 510 509 $9K
90832 Psychotherapy, 30 minutes with patient 681 482 $8K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,168 952 $8K
92015 Determination of refractive state 3,626 2,925 $6K
0071A 148 81 $6K
0004A 142 83 $6K
90834 Psychotherapy, 45 minutes with patient 375 245 $5K
0072A 121 64 $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 1,081 1,055 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,181 7,759 $4K
0031A 56 32 $3K
0013A 42 23 $2K
S9455 Diabetic management program, group session 37 32 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,066 4,934 $901.05
G9920 Screening performed and negative 137 81 $551.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 809 622 $439.60
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,509 1,543 $344.69
90688 627 567 $101.15
81025 1,041 811 $44.80
92250 25 14 $37.92
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 53 42 $24.00
81003 1,229 939 $1.85
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,339 944 $0.05
85018 1,448 1,147 $0.00
D0120 Periodic oral evaluation - established patient 711 699 $0.00
D0210 Intraoral - complete series of radiographic images 189 188 $0.00
3079F 2,130 1,717 $0.00
1035F 44 25 $0.00
3008F 7,525 5,753 $0.00
92551 854 712 $0.00
36415 Collection of venous blood by venipuncture 291 280 $0.00
90686 429 411 $0.00
D1208 Topical application of fluoride, excluding varnish 719 710 $0.00
1036F 6,209 4,521 $0.00
1034F 416 296 $0.00
D0230 Intraoral - periapical each additional radiographic image 3,465 818 $0.00
D0602 151 151 $0.00
1125F 331 273 $0.00
1126F 5,995 4,779 $0.00
3075F 1,095 925 $0.00
3074F 5,506 4,304 $0.00
99243 289 164 $0.00
D0150 Comprehensive oral evaluation - new or established patient 327 325 $0.00
90647 35 35 $0.00
96156 101 92 $0.00
87428 176 123 $0.00
D1351 Sealant - per tooth 99 41 $0.00
82962 57 30 $0.00
D1206 Topical application of fluoride varnish 47 47 $0.00
3080F 106 82 $0.00
D0272 Bitewings - two radiographic images 40 40 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 84 65 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 59 43 $0.00
91306 36 36 $0.00
D0601 60 60 $0.00
D0603 29 29 $0.00
90723 13 13 $0.00
92227 52 43 $0.00
D0274 Bitewings - four radiographic images 592 585 $0.00
D1120 Prophylaxis - child 598 590 $0.00
D0220 Intraoral - periapical first radiographic image 775 754 $0.00
Z6308 12 12 $0.00
3077F 396 334 $0.00
99173 853 721 $0.00
D4341 215 102 $0.00
S3000 Diabetic indicator; retinal eye exam, dilated, bilateral 311 221 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 93 72 $0.00
3078F 4,993 3,952 $0.00
71046 Radiologic examination, chest; 2 views 246 231 $0.00
1160F 3,841 2,661 $0.00
3725F 5,807 4,428 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 126 101 $0.00
1159F 3,821 2,642 $0.00
D0270 147 144 $0.00
90670 55 55 $0.00
D9430 397 383 $0.00
90715 106 83 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 96 96 $0.00
D4910 28 28 $0.00
Z6304 12 12 $0.00
D1110 Prophylaxis - adult 182 180 $0.00
99201 62 50 $0.00
11721 108 78 $0.00
90658 30 29 $0.00
99215 Prolong outpt/office vis 22 12 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 182 172 $0.00
90746 20 12 $0.00
11720 17 12 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 27 27 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13 13 $0.00
90633 12 12 $0.00