Medicaid Provider Spending

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

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

NPI: 1982079620 · FRESNO, CA 93726 · Case Manager/Care Coordinator · NPI assigned 12/07/2015

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

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

$19.47M
Total Medicaid Paid
350,396
Total Claims
230,701
Beneficiaries
93
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
NPI Enumeration Date12/07/2015

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 $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
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY SANGER CA $96K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 34,509 $3.67M
2019 38,916 $3.54M
2020 46,489 $3.12M
2021 69,906 $4.09M
2022 62,339 $2.34M
2023 84,524 $2.06M
2024 13,713 $664K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 73,030 52,206 $9.70M
00003 Internal/system code - not a standard HCPCS code 55,649 25,047 $9.42M
0001A 898 490 $40K
0002A 872 473 $39K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 9,242 7,954 $32K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 12,191 10,798 $29K
90834 Psychotherapy, 45 minutes with patient 2,781 1,299 $26K
V2020 Frames, purchases 15,456 15,438 $20K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 10,322 5,946 $19K
92340 Fitting of spectacles, except for aphakia; monofocal 12,428 12,410 $17K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 59,606 32,613 $13K
0012A 290 179 $13K
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 1,834 1,389 $12K
0004A 268 173 $12K
90832 Psychotherapy, 30 minutes with patient 1,800 904 $12K
92015 Determination of refractive state 21,723 19,061 $12K
0011A 329 202 $11K
0064A 226 149 $9K
0071A 147 81 $6K
0031A 115 65 $5K
90791 Psychiatric diagnostic evaluation 376 327 $5K
98940 1,266 872 $4K
92341 2,089 2,088 $4K
0072A 99 63 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,247 2,421 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12,207 3,870 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 414 269 $1K
0013A 22 14 $960.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 662 511 $942.73
S9455 Diabetic management program, group session 13 12 $390.00
92133 359 266 $377.08
92250 515 371 $345.07
90715 327 267 $244.89
81003 2,195 1,558 $142.09
85018 3,140 2,234 $107.94
90688 992 869 $104.88
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 233 205 $78.60
99173 1,547 1,058 $54.46
81025 690 453 $41.44
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 124 120 $33.69
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 340 340 $15.59
92020 116 90 $14.76
76514 79 55 $9.11
82962 108 95 $7.56
3074F 2,330 1,515 $0.00
90686 797 679 $0.00
3079F 782 515 $0.00
1125F 356 250 $0.00
3008F 3,319 2,119 $0.00
D0230 Intraoral - periapical each additional radiographic image 3,947 885 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 379 267 $0.00
D0120 Periodic oral evaluation - established patient 745 740 $0.00
3075F 531 382 $0.00
D0210 Intraoral - complete series of radiographic images 119 119 $0.00
1126F 2,447 1,629 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 318 253 $0.00
1036F 3,967 2,320 $0.00
D0602 87 87 $0.00
86580 71 54 $0.00
92551 1,536 1,042 $0.00
3080F 24 16 $0.00
D0150 Comprehensive oral evaluation - new or established patient 139 139 $0.00
D0603 284 282 $0.00
D1208 Topical application of fluoride, excluding varnish 13 13 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 177 115 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 30 30 $0.00
87428 272 140 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 31 31 $0.00
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 31 27 $0.00
91307 24 24 $0.00
S3000 Diabetic indicator; retinal eye exam, dilated, bilateral 593 472 $0.00
1160F 3,976 2,397 $0.00
3725F 3,081 1,925 $0.00
D0274 Bitewings - four radiographic images 632 631 $0.00
D0270 150 148 $0.00
D0220 Intraoral - periapical first radiographic image 316 305 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 37 37 $0.00
3078F 2,216 1,474 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 102 65 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 73 50 $0.00
D1120 Prophylaxis - child 517 513 $0.00
D1110 Prophylaxis - adult 229 228 $0.00
D9430 318 306 $0.00
1159F 3,976 2,397 $0.00
3077F 184 132 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 207 125 $0.00
90670 19 17 $0.00
90633 12 12 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 169 108 $0.00
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 140 140 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 91 68 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 219 160 $0.00
90837 Psychotherapy, 53 minutes with patient 16 13 $0.00