Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Union Community Care

Union Community Care was paid $21.18M by Medicaid between Jan 2018 and Dec 2024, across 99 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.

33Billing provider infoUNION COMMUNITY CARE
LANCASTER, PA 17603
33aNPI1134458789assigned 12/10/2009
28Total paid$21.18M
24GClaims331,675
24DCodes billed99
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania

Rank by total paid#10 of 240
Median peer was paid$909K
This provider vs. median23×

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 JONES, ALISA controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
20184,596$192K
20194,115$203K
202011,507$842K
202144,815$2.98M
202276,602$3.66M
202397,317$4.70M
2024incomplete92,723$8.61M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 100% 113,124 98,840 $21.10M
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% 49,342 44,755 $13K
3074F <1% 17,692 16,703 $12K
3078F <1% 14,171 13,447 $12K
3079F <1% 6,048 5,759 $10K
3077F <1% 1,672 1,546 $7K
3075F <1% 1,957 1,887 $5K
3080F <1% 1,099 1,035 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 1,705 1,689 $2K
0072A <1% 51 51 $2K
0071A <1% 39 39 $1K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity <1% 8,022 7,645 $1K
87 more codes
92551 <1% 2,466 $898.70
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 847 $893.53
99173 <1% 4,159 $881.92
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,057 $779.49
0002A <1% 26 $760.00
0004A <1% 16 $560.00
0013A <1% 16 $480.00
90686 <1% 1,939 $447.82
0001A <1% 12 $440.00
0003A <1% 18 $400.00
D0330 Panoramic radiographic image <1% 1,011 $314.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 1,267 $281.99
99384 <1% 27 $191.00
0051A <1% 16 $160.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 518 $152.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 649 $139.76
D0120 Dental checkup, returning patient <1% 1,539 $102.00
D1206 Topical application of fluoride varnish <1% 1,176 $96.00
3725F <1% 3,776 $80.00
0124A <1% 13 $80.00
D0150 Comprehensive oral evaluation - new or established patient <1% 927 $76.00
80305 <1% 1,955 $71.82
D1110 Prophylaxis - adult <1% 1,342 $59.00
99203 Doctor's office visit, new patient (routine) <1% 969 $54.25
D1120 Dental cleaning, child <1% 533 $44.00
90658 <1% 335 $43.72
90460 Immunization administration through 18 years of age via any route, first or only component <1% 3,701 $35.83
D0272 Bitewings - two radiographic images <1% 195 $28.00
90461 <1% 1,810 $27.78
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 523 $23.31
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 237 $22.70
81002 <1% 476 $13.92
D1330 <1% 2,491 $0.01
3008F 0% 18,774 $0.00
D0140 Limited oral evaluation - problem focused 0% 770 $0.00
D0210 Intraoral - complete series of radiographic images 0% 167 $0.00
1036F 0% 10,123 $0.00
90723 0% 63 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 1,063 $0.00
1034F 0% 4,609 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 0% 340 $0.00
D0603 0% 262 $0.00
D7140 Extraction, erupted tooth or exposed root 0% 167 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 0% 14 $0.00
96127 0% 814 $0.00
G0467 Community health center visit, returning patient 0% 163 $0.00
90674 0% 235 $0.00
90651 0% 71 $0.00
1000F 0% 82 $0.00
99462 0% 12 $0.00
90677 0% 15 $0.00
90480 0% 19 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 0% 16 $0.00
D0230 Intraoral - periapical each additional radiographic image 0% 97 $0.00
D1351 Sealant - per tooth 0% 29 $0.00
96161 0% 40 $0.00
90696 0% 26 $0.00
85018 0% 19 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 0% 25 $0.00
D1310 0% 19 $0.00
91307 0% 33 $0.00
1035F 0% 45 $0.00
99232 Hospital visit by a doctor, follow-up day 0% 12 $0.00
90743 0% 13 $0.00
1159F 0% 16,890 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 42 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 0% 486 $0.00
D0274 Bitewings - four radiographic images 0% 983 $0.00
90715 0% 213 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 0% 38 $0.00
1160F 0% 18,774 $0.00
D0220 Intraoral - periapical first radiographic image 0% 941 $0.00
90648 0% 212 $0.00
83655 0% 85 $0.00
92552 0% 1,113 $0.00
97803 0% 139 $0.00
99238 Hospital discharge day management, 30 minutes or less 0% 323 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 0% 325 $0.00
90670 0% 190 $0.00
90633 0% 228 $0.00
D0270 0% 162 $0.00
81025 0% 143 $0.00
90713 0% 30 $0.00
90734 0% 208 $0.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 0% 20 $0.00
91300 0% 17 $0.00
90649 0% 12 $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 officialJONES, ALISA (PRESIDENT AND CEO)
Same official

Other billing entities under JONES, ALISA

Full network →
ProviderLocationPaid
Union Community CareLancaster, PA$11.57M
Union Community CareLancaster, PA$8.84M
Union Community CareLebanon, PA$5.24M
Union Community CareLancaster, PA$2.47M
Union Community CareLebanon, PA$2.32M
Union Community CareNew Holland, PA$2.01M
Union Community CareNew Holland, PA$1.23M
Union Community CareLancaster, PA$945K
Union Community CareDenver, PA$280K
Union Community CareLancaster, PA$47K
Union Community CareLancaster, PA$39K
Union Community CareLancaster, PA$21K
Union Community CareLancaster, PA$13K
Union Community CareLancaster, PA$3K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.