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.
LANCASTER, PA 17603
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,596 | $192K | |
| 2019 | 4,115 | $203K | |
| 2020 | 11,507 | $842K | |
| 2021 | 44,815 | $2.98M | |
| 2022 | 76,602 | $3.66M | |
| 2023 | 97,317 | $4.70M | |
| 2024incomplete | 92,723 | $8.61M |
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 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Union Community Care | Lancaster, PA | $11.57M |
| Union Community Care | Lancaster, PA | $8.84M |
| Union Community Care | Lebanon, PA | $5.24M |
| Union Community Care | Lancaster, PA | $2.47M |
| Union Community Care | Lebanon, PA | $2.32M |
| Union Community Care | New Holland, PA | $2.01M |
| Union Community Care | New Holland, PA | $1.23M |
| Union Community Care | Lancaster, PA | $945K |
| Union Community Care | Denver, PA | $280K |
| Union Community Care | Lancaster, PA | $47K |
| Union Community Care | Lancaster, PA | $39K |
| Union Community Care | Lancaster, PA | $21K |
| Union Community Care | Lancaster, PA | $13K |
| Union Community Care | Lancaster, PA | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.