United Health Centers of the San Joaquin Valley
United Health Centers of the San Joaquin Valley was paid $19.47M by Medicaid between Jan 2018 and Dec 2024, across 93 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 50% of everything it billed.
33Billing provider infoUNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
FRESNO, CA 93726
FRESNO, CA 93726
33aNPI1982079620assigned 12/07/2015
33bProvider typeCase Manager/Care Coordinator
28Total paid$19.47M
24GClaims350,396
24DCodes billed93
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#103 of 435
Median peer was paid$2.89M
This provider vs. median6.7×
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.
Entity ProliferationAuthorized official LOPEZ, MARY LOU controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 13,713 | $664K |
Box 24 · Service lines
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 | 50% | 73,030 | 52,206 | $9.70M |
| 00003 | Internal/system code - not a standard HCPCS code | 48% | 55,649 | 25,047 | $9.42M |
| 0001A | <1% | 898 | 490 | $40K | |
| 0002A | <1% | 872 | 473 | $39K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 9,242 | 7,954 | $32K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 12,191 | 10,798 | $29K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,781 | 1,299 | $26K |
| V2020 | Frames, purchases | <1% | 15,456 | 15,438 | $20K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 10,322 | 5,946 | $19K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 12,428 | 12,410 | $17K |
| 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% | 59,606 | 32,613 | $13K |
| 0012A | <1% | 290 | 179 | $13K |
81 more codes
| G0467 | Community health center visit, returning patient | <1% | 1,834 | $12K |
| 0004A | <1% | 268 | $12K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,800 | $12K |
| 92015 | Determination of refractive state | <1% | 21,723 | $12K |
| 0011A | <1% | 329 | $11K | |
| 0064A | <1% | 226 | $9K | |
| 0071A | <1% | 147 | $6K | |
| 0031A | <1% | 115 | $5K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 376 | $5K |
| 98940 | <1% | 1,266 | $4K | |
| 92341 | <1% | 2,089 | $4K | |
| 0072A | <1% | 99 | $4K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 3,247 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12,207 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 414 | $1K |
| 0013A | <1% | 22 | $960.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 662 | $942.73 |
| S9455 | Diabetic management program, group session | <1% | 13 | $390.00 |
| 92133 | <1% | 359 | $377.08 | |
| 92250 | <1% | 515 | $345.07 | |
| 90715 | <1% | 327 | $244.89 | |
| 81003 | <1% | 2,195 | $142.09 | |
| 85018 | <1% | 3,140 | $107.94 | |
| 90688 | <1% | 992 | $104.88 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 233 | $78.60 |
| 99173 | <1% | 1,547 | $54.46 | |
| 81025 | <1% | 690 | $41.44 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 124 | $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 | <1% | 340 | $15.59 |
| 92020 | <1% | 116 | $14.76 | |
| 76514 | <1% | 79 | $9.11 | |
| 82962 | <1% | 108 | $7.56 | |
| 3074F | 0% | 2,330 | $0.00 | |
| 90686 | 0% | 797 | $0.00 | |
| 3079F | 0% | 782 | $0.00 | |
| 1125F | 0% | 356 | $0.00 | |
| 3008F | 0% | 3,319 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 3,947 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 379 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 745 | $0.00 |
| 3075F | 0% | 531 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 119 | $0.00 |
| 1126F | 0% | 2,447 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 318 | $0.00 |
| 1036F | 0% | 3,967 | $0.00 | |
| D0602 | 0% | 87 | $0.00 | |
| 86580 | 0% | 71 | $0.00 | |
| 92551 | 0% | 1,536 | $0.00 | |
| 3080F | 0% | 24 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 139 | $0.00 |
| D0603 | 0% | 284 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 13 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 177 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 30 | $0.00 |
| 87428 | 0% | 272 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 31 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 31 | $0.00 |
| 91307 | 0% | 24 | $0.00 | |
| S3000 | Diabetic indicator; retinal eye exam, dilated, bilateral | 0% | 593 | $0.00 |
| 1160F | 0% | 3,976 | $0.00 | |
| 3725F | 0% | 3,081 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 632 | $0.00 |
| D0270 | 0% | 150 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 316 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 37 | $0.00 |
| 3078F | 0% | 2,216 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 102 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 73 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 517 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 229 | $0.00 |
| D9430 | 0% | 318 | $0.00 | |
| 1159F | 0% | 3,976 | $0.00 | |
| 3077F | 0% | 184 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 207 | $0.00 |
| 90670 | 0% | 19 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 169 | $0.00 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 140 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 91 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 219 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 16 | $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.
From NPPES
Who's on the registration
Authorized officialLOPEZ, MARY LOU (DIRECTOR OF BILLING)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.