Medicaid Provider Spending

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

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

NPI: 1962610600 · SANGER, CA 93657 · Case Manager/Care Coordinator · NPI assigned 05/18/2007

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

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

$96K
Total Medicaid Paid
108,167
Total Claims
85,666
Beneficiaries
84
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
NPI Enumeration Date05/18/2007

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,470 $93K
2019 3,945 $2K
2020 18,076 $125.42
2021 18,640 $463.52
2022 14,202 $0.00
2023 33,834 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 53,549 37,683 $43K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 3,794 2,677 $23K
90834 Psychotherapy, 45 minutes with patient 1,954 1,588 $5K
S9455 Diabetic management program, group session 116 92 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,534 1,306 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 716 715 $3K
90791 Psychiatric diagnostic evaluation 301 297 $2K
90688 1,483 1,480 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,264 1,264 $2K
90715 385 374 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 712 712 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 170 169 $897.40
90686 2,115 2,094 $761.49
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 955 936 $681.78
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 164 128 $675.42
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 75 70 $480.82
90670 246 246 $433.00
85018 4,073 4,048 $427.40
90651 116 116 $399.00
90832 Psychotherapy, 30 minutes with patient 657 615 $370.09
90633 159 159 $243.00
90472 Immunization administration, each additional vaccine (list separately) 23 16 $207.00
90837 Psychotherapy, 53 minutes with patient 13 12 $196.04
90716 28 28 $181.41
81003 1,358 1,219 $156.05
86580 174 173 $154.73
82962 259 243 $143.56
90734 196 196 $136.56
90710 53 53 $126.00
J1885 Injection, ketorolac tromethamine, per 15 mg 28 27 $122.69
H1003 Prenatal care, at-risk enhanced service; education 94 91 $115.15
90696 49 49 $108.00
90648 116 115 $99.00
81025 435 419 $97.56
90723 26 26 $72.00
90700 47 46 $63.00
99401 544 461 $34.50
99173 2,194 2,193 $9.90
3078F 1,657 1,426 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 2,304 2,129 $0.00
3077F 32 27 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 880 746 $0.00
1159F 3,191 2,382 $0.00
90649 125 125 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 41 41 $0.00
3725F 2,276 1,668 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 781 780 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 51 50 $0.00
1160F 3,191 2,382 $0.00
0071A 31 31 $0.00
G9920 Screening performed and negative 271 264 $0.00
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 90 90 $0.00
G9919 Screening performed and positive and provision of recommendations 29 29 $0.00
97803 38 38 $0.00
90630 22 22 $0.00
90658 22 22 $0.00
96156 775 679 $0.00
3074F 1,708 1,454 $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) 40 38 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 263 249 $0.00
92551 2,174 2,167 $0.00
90619 37 37 $0.00
1125F 332 305 $0.00
3079F 393 352 $0.00
87428 248 233 $0.00
3008F 2,236 1,890 $0.00
1036F 1,914 1,373 $0.00
90647 92 91 $0.00
1126F 1,626 1,455 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 126 80 $0.00
3075F 292 279 $0.00
92227 12 12 $0.00
90792 Psychiatric diagnostic evaluation with medical services 14 14 $0.00
0064A 46 44 $0.00
83036 Hemoglobin; glycosylated (A1C) 29 29 $0.00
1034F 53 38 $0.00
1035F 277 191 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 45 45 $0.00
91307 69 67 $0.00
0072A 36 36 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 50 49 $0.00
90620 14 14 $0.00
90657 13 13 $0.00
91306 46 44 $0.00