Unicare Community Health Center, INC.
Unicare Community Health Center, INC. was paid $5.14M by Medicaid between Dec 2019 and Dec 2024, across 111 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
LOS ANGELES, CA 90031
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 | |
|---|---|---|---|
| 2019 | 307 | $6K | |
| 2020 | 19,886 | $759K | |
| 2021 | 30,844 | $1.16M | |
| 2022 | 29,345 | $848K | |
| 2023 | 51,548 | $1.19M | |
| 2024incomplete | 71,791 | $1.18M |
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 | 99% | 30,002 | 24,356 | $5.09M |
| 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% | 20,998 | 15,433 | $23K |
| 98960 | <1% | 6,990 | 5,358 | $13K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,198 | 1,785 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 162 | 122 | $2K |
| 90674 | <1% | 322 | 258 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,528 | 1,295 | $1K |
| 90686 | <1% | 2,072 | 1,733 | $1K | |
| 90715 | <1% | 202 | 174 | $987.55 | |
| 90688 | <1% | 191 | 150 | $925.40 | |
| 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% | 136 | 96 | $695.28 |
| 96156 | <1% | 4,447 | 3,620 | $617.24 |
99 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 547 | $611.72 |
| 90461 | <1% | 469 | $434.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 19 | $324.22 |
| 99000 | <1% | 5,012 | $311.87 | |
| 92551 | <1% | 3,244 | $310.36 | |
| 94760 | <1% | 22,806 | $251.86 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 34 | $117.74 |
| 3008F | <1% | 23,931 | $104.87 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 727 | $83.39 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 393 | $82.37 |
| 99173 | <1% | 5,580 | $70.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 146 | $70.00 |
| 1000F | <1% | 5,446 | $64.00 | |
| 90633 | <1% | 193 | $46.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 346 | $34.34 |
| 90677 | <1% | 182 | $27.00 | |
| 97803 | <1% | 4,311 | $25.85 | |
| 85018 | <1% | 2,891 | $22.71 | |
| 90651 | <1% | 89 | $18.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 617 | $14.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 608 | $14.00 |
| 81025 | <1% | 55 | $11.20 | |
| 96127 | <1% | 1,206 | $9.57 | |
| 90619 | <1% | 18 | $9.00 | |
| 90671 | <1% | 149 | $9.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,359 | $8.40 |
| 81002 | <1% | 1,693 | $7.50 | |
| 82962 | <1% | 1,475 | $3.21 | |
| 1036F | 0% | 2,888 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 3,069 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,514 | $0.00 |
| 99385 | 0% | 14 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 343 | $0.00 |
| 3079F | 0% | 1,408 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 66 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 1,009 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 208 | $0.00 |
| G2062 | Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 11-20 minutes | 0% | 14 | $0.00 |
| 97802 | 0% | 2,957 | $0.00 | |
| 3074F | 0% | 7,584 | $0.00 | |
| Z6406 | 0% | 54 | $0.00 | |
| Z1034 | 0% | 1,111 | $0.00 | |
| 3075F | 0% | 790 | $0.00 | |
| 99441 | 0% | 162 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 477 | $0.00 |
| 96151 | 0% | 47 | $0.00 | |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 708 | $0.00 |
| Z6410 | 0% | 665 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 17 | $0.00 |
| 96161 | 0% | 1,087 | $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% | 18 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 1,182 | $0.00 |
| 1031F | 0% | 2,367 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 113 | $0.00 |
| 90697 | 0% | 214 | $0.00 | |
| Z6204 | 0% | 55 | $0.00 | |
| 1034F | 0% | 18 | $0.00 | |
| 99383 | 0% | 13 | $0.00 | |
| Z1032 | 0% | 51 | $0.00 | |
| 3080F | 0% | 37 | $0.00 | |
| 4000F | 0% | 18 | $0.00 | |
| G0406 | Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth | 0% | 45 | $0.00 |
| 99406 | 0% | 17 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 124 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 17 | $0.00 |
| 90698 | 0% | 12 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 16 | $0.00 |
| 99384 | 0% | 19 | $0.00 | |
| 3044F | 0% | 31 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 275 | $0.00 |
| 96160 | 0% | 221 | $0.00 | |
| 3078F | 0% | 7,468 | $0.00 | |
| 2028F | 0% | 111 | $0.00 | |
| 2014F | 0% | 3,267 | $0.00 | |
| 99001 | 0% | 125 | $0.00 | |
| 1160F | 0% | 727 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 371 | $0.00 |
| 3725F | 0% | 117 | $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% | 1,379 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 54 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 1,327 | $0.00 |
| Z6304 | 0% | 42 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 1,642 | $0.00 |
| Z6400 | 0% | 310 | $0.00 | |
| 90670 | 0% | 42 | $0.00 | |
| 82947 | 0% | 185 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 252 | $0.00 |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | 0% | 25 | $0.00 |
| S9470 | Nutritional counseling, dietitian visit | 0% | 250 | $0.00 |
| 1159F | 0% | 273 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 93 | $0.00 |
| 3077F | 0% | 454 | $0.00 | |
| 99442 | 0% | 52 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 71 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 108 | $0.00 |
| 90681 | 0% | 15 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 30 | $0.00 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 41 | $0.00 |
| 99401 | 0% | 41 | $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 | $4.29M |
| 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.