Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

UNICARE COMMUNITY HEALTH CENTER INC

Clinic/Center, Federally Qualified Health Center (FQHC)·RIVERSIDE, CA·NPI: 1043777089Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.9M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2021-042024-12(45 months)

Total Paid

$19.9M

$19,879,995

Total Claims

980K

Beneficiaries

656K

1.5 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2021
$955K
+29%
2022
$1.2M
+212%
2023
$3.8M
+261%
2024
$13.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 76% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$15.1M

76K claims · 76.0%

Your Cost: $199.83/claim|Median: $121.16
1.6× median
00003Normal range

Anesthesia services

$4.4M

18K claims · 22.1%

Your Cost: $243.82/claim|Median: $223.77
1.1× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$85K

60K claims · 0.4%

Your Cost: $1.41/claim|Median: $37.81
0.0× median
96156Normal range

$37K

17K claims · 0.2%

Your Cost: $2.20/claim|Median: $22.36
0.1× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$34K

11K claims · 0.2%

Your Cost: $3.03/claim|Median: $53.41
0.1× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$28K

29K claims · 0.1%

Your Cost: $0.97/claim|Median: $12.70
0.1× median
59425Normal range

Antepartum care only, 4-6 visits

$27K

2,679 claims · 0.1%

Your Cost: $10.16/claim|Median: $63.63
0.2× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$22K

108K claims · 0.1%

Your Cost: $0.20/claim|Median: $0.79
0.3× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$19K

12K claims · 0.1%

Your Cost: $1.69/claim|Median: $24.33
0.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$11K

1,766 claims · 0.1%

Your Cost: $6.47/claim|Median: $72.71
0.1× median
92551Normal range

Screening audiometry, pure tone, air only

$11K

11K claims · 0.1%

Your Cost: $1.01/claim|Median: $6.61
0.2× median
99215Normal range

Office/outpatient visit, high complexity

$9K

1,647 claims · 0.0%

Your Cost: $5.49/claim|Median: $74.09
0.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$8K

1,373 claims · 0.0%

Your Cost: $5.52/claim|Median: $76.06
0.1× median
G0447Normal range

$7K

13K claims · 0.0%

Your Cost: $0.58/claim|Median: $5.19
0.1× median
90674Normal range

$7K

3,667 claims · 0.0%

Your Cost: $1.93/claim|Median: $15.16
0.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$7K

433 claims · 0.0%

Your Cost: $15.76/claim|Median: $111.09
0.1× median
90832Normal range

Psychotherapy, 30 minutes

$6K

2,326 claims · 0.0%

Your Cost: $2.78/claim|Median: $41.28
0.1× median
90791Normal range

Psychiatric diagnostic evaluation

$6K

738 claims · 0.0%

Your Cost: $7.99/claim|Median: $99.21
0.1× median
90837Normal range

Psychotherapy, 60 minutes

$6K

523 claims · 0.0%

Your Cost: $10.70/claim|Median: $85.66
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$5K

5,557 claims · 0.0%

Your Cost: $0.89/claim|Median: $25.06
0.0× median
99401Normal range

$5K

3,651 claims · 0.0%

Your Cost: $1.28/claim|Median: $16.53
0.1× median
S9445Normal range

$4K

1,483 claims · 0.0%

Your Cost: $2.58/claim|Median: $12.72
0.2× median
59430Normal range

$3K

361 claims · 0.0%

Your Cost: $9.38/claim|Median: $80.32
0.1× median
G8431Normal range

$3K

2,390 claims · 0.0%

Your Cost: $1.22/claim|Median: $2.37
0.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$3K

766 claims · 0.0%

Your Cost: $3.81/claim|Median: $40.11
0.1× median
96110Normal range

Developmental screening, per standardized instrument

$3K

2,103 claims · 0.0%

Your Cost: $1.38/claim|Median: $9.10
0.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$3K

4,474 claims · 0.0%

Your Cost: $0.61/claim|Median: $7.18
0.1× median
H1003Normal range

$3K

650 claims · 0.0%

Your Cost: $4.17/claim|Median: $10.04
0.4× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$3K

2,222 claims · 0.0%

Your Cost: $1.21/claim|Median: $9.80
0.1× median
90715Normal range

Tdap vaccine

$2K

1,026 claims · 0.0%

Your Cost: $2.21/claim|Median: $10.32
0.2× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$2K

788 claims · 0.0%

Your Cost: $2.65/claim|Median: $57.85
0.0× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$2K

503 claims · 0.0%

Your Cost: $3.85/claim|Median: $76.22
0.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$2K

1,750 claims · 0.0%

Your Cost: $1.05/claim|Median: $80.15
0.0× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$2K

92 claims · 0.0%

Your Cost: $17.23/claim|Median: $84.03
0.2× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$1K

6,242 claims · 0.0%

Your Cost: $0.20/claim|Median: $3.67
0.1× median
G0442Normal range

$1K

3,328 claims · 0.0%

Your Cost: $0.38/claim|Median: $4.91
0.1× median
90651Normal range

HPV vaccine, 9-valent

$1K

1,479 claims · 0.0%

Your Cost: $0.68/claim|Median: $8.93
0.1× median
90633Normal range

$847

1,281 claims · 0.0%

Your Cost: $0.66/claim|Median: $3.56
0.2× median
90648Normal range

$792

385 claims · 0.0%

Your Cost: $2.06/claim|Median: $4.08
0.5× median
90671Normal range

$780

400 claims · 0.0%

Your Cost: $1.95/claim|Median: $8.59
0.2× median
S9452Normal range

$589

190 claims · 0.0%

Your Cost: $3.10/claim|Median: $6.85
0.5× median
90723Normal range

DTaP-HepB-IPV vaccine

$588

315 claims · 0.0%

Your Cost: $1.87/claim|Median: $5.78
0.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$520

1,599 claims · 0.0%

Your Cost: $0.33/claim|Median: $69.35
0.0× median
98960Normal range

$468

161 claims · 0.0%

Your Cost: $2.91/claim|Median: $12.74
0.2× median
85018Normal range

$451

7,963 claims · 0.0%

Your Cost: $0.06/claim|Median: $1.71
0.0× median
Q0091Normal range

$450

124 claims · 0.0%

Your Cost: $3.63/claim|Median: $11.15
0.3× median
90677Normal range

$425

1,459 claims · 0.0%

Your Cost: $0.29/claim|Median: $12.96
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$411

2,118 claims · 0.0%

Your Cost: $0.19/claim|Median: $75.18
0.0× median
90680Normal range

$402

237 claims · 0.0%

Your Cost: $1.70/claim|Median: $5.58
0.3× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$397

311 claims · 0.0%

Your Cost: $1.28/claim|Median: $87.82
0.0× median