Medicaid Provider Spending

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

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

NPI: 1952937559 · DINUBA, CA 93618 · Case Manager/Care Coordinator · NPI assigned 03/16/2020

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

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

$5.15M
Total Medicaid Paid
124,666
Total Claims
85,044
Beneficiaries
72
Codes Billed
2021-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
NPI Enumeration Date03/16/2020

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 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 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
2021 12,203 $681K
2022 15,986 $1.17M
2023 42,891 $1.68M
2024 53,586 $1.62M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
00003 Internal/system code - not a standard HCPCS code 14,950 10,378 $2.63M
T1015 Clinic visit/encounter, all-inclusive 17,342 13,140 $2.35M
0001A 551 300 $25K
0012A 552 316 $24K
0002A 510 276 $23K
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 574 402 $20K
0011A 371 212 $15K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,720 9,588 $12K
0064A 248 151 $10K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 1,388 782 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,769 3,901 $6K
0004A 137 86 $6K
0071A 129 69 $6K
0031A 93 54 $4K
0072A 107 67 $4K
0013A 28 16 $1K
G9920 Screening performed and negative 179 127 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 290 190 $400.14
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 358 229 $373.13
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 15 15 $233.85
81025 682 518 $33.45
90658 46 46 $23.84
81003 1,185 854 $11.78
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 517 410 $6.59
90688 222 165 $4.18
85018 713 550 $2.10
82962 127 70 $0.66
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 2,030 1,480 $0.57
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 173 151 $0.01
3078F 5,818 4,289 $0.00
D1120 Prophylaxis - child 853 849 $0.00
D0274 Bitewings - four radiographic images 893 892 $0.00
D1110 Prophylaxis - adult 396 396 $0.00
3725F 5,344 3,852 $0.00
3077F 301 257 $0.00
1159F 3,446 2,183 $0.00
D0220 Intraoral - periapical first radiographic image 545 526 $0.00
D9430 476 457 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 45 37 $0.00
1160F 3,446 2,183 $0.00
99173 470 385 $0.00
D0270 138 136 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 32 32 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 14 $0.00
D4341 58 27 $0.00
D2940 33 29 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 13 $0.00
3008F 7,097 5,168 $0.00
3074F 5,631 4,168 $0.00
D0230 Intraoral - periapical each additional radiographic image 5,704 1,217 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 226 187 $0.00
1036F 6,180 4,332 $0.00
D0150 Comprehensive oral evaluation - new or established patient 504 499 $0.00
D0210 Intraoral - complete series of radiographic images 254 251 $0.00
92551 360 299 $0.00
D0120 Periodic oral evaluation - established patient 1,037 1,014 $0.00
D1208 Topical application of fluoride, excluding varnish 696 696 $0.00
3075F 832 699 $0.00
3079F 927 783 $0.00
1125F 867 656 $0.00
1126F 4,328 3,394 $0.00
1034F 69 49 $0.00
D0603 133 128 $0.00
D1206 Topical application of fluoride varnish 49 49 $0.00
D0140 Limited oral evaluation - problem focused 37 37 $0.00
91306 12 12 $0.00
D0602 130 129 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 190 118 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 14 $0.00
90656 18 18 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 20 12 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 24 15 $0.00