Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Bronx › NPI 1437255155
Clinic

Union Community Health Center, INC.

Union Community Health Center, INC. was paid $88.66M by Medicaid between Jan 2018 and Dec 2024, across 260 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.

33Billing provider infoUNION COMMUNITY HEALTH CENTER, INC.
BRONX, NY 10458
33aNPI1437255155assigned 09/16/2006
33bProvider typeClinic/Center
28Total paid$88.66M
24GClaims2,888,595
24DCodes billed260
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinic/Center providers in New York

Rank by total paid#3 of 235
Median peer was paid$630K
This provider vs. median141×

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.

Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M2018201920202021202220232024
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
2018170,970$8.14M
2019313,053$12.92M
2020316,040$13.62M
2021500,832$16.64M
2022560,994$14.30M
2023457,724$8.08M
2024incomplete568,982$14.97M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 311,407 139,273 $15.80M
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 11% 261,832 87,194 $9.51M
97530 Therapeutic activities, direct patient contact, each 15 minutes 10% 174,502 33,434 $9.18M
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 4.2% 40,284 27,630 $3.73M
92551 4.1% 138,624 34,381 $3.60M
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 4.0% 125,510 33,688 $3.59M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3.7% 83,245 16,784 $3.31M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.2% 55,307 28,452 $2.86M
D0140 Limited oral evaluation - problem focused 2.9% 59,192 25,629 $2.60M
36415 Collection of venous blood by venipuncture 2.7% 126,871 54,789 $2.39M
99443 1.7% 14,970 10,860 $1.48M
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1.6% 15,964 10,749 $1.45M
248 more codes
D1110 Prophylaxis - adult 1.6% 24,457 $1.38M
81003 1.5% 45,362 $1.37M
97010 1.4% 38,381 $1.27M
99442 1.4% 13,598 $1.27M
D1120 Dental cleaning, child 1.3% 47,598 $1.19M
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.3% 17,606 $1.16M
D8670 Periodic orthodontic treatment visit 1.2% 6,057 $1.03M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1.1% 8,685 $1.01M
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.1% 16,742 $990K
D0150 Comprehensive oral evaluation - new or established patient 1.1% 33,662 $966K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1.1% 30,872 $941K
81025 1.1% 29,812 $936K
D7140 Extraction, erupted tooth or exposed root <1% 15,168 $764K
99441 <1% 8,883 $749K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 19,445 $745K
92015 Determination of refractive state <1% 13,178 $722K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 18,854 $720K
D0220 Intraoral - periapical first radiographic image <1% 43,763 $627K
94760 <1% 16,339 $585K
D1351 Sealant - per tooth <1% 14,783 $579K
D0274 Bitewings - four radiographic images <1% 26,030 $565K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 4,974 $506K
97162 <1% 6,761 $504K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 11,880 $440K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 9,710 $403K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 49,032 $373K
92557 <1% 5,886 $336K
D8660 <1% 5,420 $329K
D1330 <1% 22,589 $325K
D0330 Panoramic radiographic image <1% 9,748 $309K
90686 <1% 21,247 $304K
D9310 <1% 4,779 $285K
D4341 <1% 4,806 $276K
D1208 Topical application of fluoride, excluding varnish <1% 21,031 $239K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,970 $188K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 3,747 $165K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 24,384 $163K
97166 <1% 2,091 $159K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 9,412 $155K
86703 <1% 4,093 $153K
D3999 <1% 1,206 $140K
99203 Doctor's office visit, new patient (routine) <1% 2,241 $132K
D0270 <1% 9,178 $132K
D1354 <1% 7,513 $130K
92579 <1% 2,044 $125K
D5899 <1% 946 $123K
D0272 Bitewings - two radiographic images <1% 8,315 $120K
D0210 Intraoral - complete series of radiographic images <1% 9,091 $109K
D0230 Intraoral - periapical each additional radiographic image <1% 20,507 $109K
3008F <1% 85,314 $104K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 8,023 $102K
D0350 <1% 3,514 $101K
92550 <1% 3,659 $97K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,801 $95K
T1013 Sign language or oral interpretive services, per 15 minutes <1% 5,268 $92K
D8080 Comprehensive orthodontic treatment of the adolescent dentition <1% 111 $90K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 3,550 $89K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 2,835 $82K
D0240 <1% 4,957 $76K
97014 <1% 15,737 $66K
97165 <1% 718 $64K
99401 <1% 3,810 $60K
D0340 <1% 1,597 $58K
92587 <1% 2,557 $58K
90670 <1% 3,730 $54K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth <1% 837 $51K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,863 $51K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 4,151 $46K
D0470 <1% 1,648 $46K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 11,576 $39K
1036F <1% 26,363 $38K
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% 2,429 $38K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 751 $38K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care <1% 14,370 $37K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 387 $37K
80053 Comprehensive metabolic panel <1% 1,829 $34K
D2999 <1% 319 $33K
99385 <1% 825 $31K
0011A <1% 583 $31K
81002 <1% 1,008 $31K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 877 $30K
3074F <1% 74,574 $30K
D9430 <1% 472 $30K
82962 <1% 1,138 $29K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit <1% 344 $29K
96127 <1% 8,256 $29K
90651 <1% 4,502 $28K
98929 <1% 1,448 $27K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 282 $25K
80061 Lipid panel <1% 1,262 $24K
D2930 Prefabricated stainless steel crown - primary tooth <1% 326 $24K
97161 <1% 511 $23K
0012A <1% 513 $23K
D9110 <1% 325 $23K
D1206 Topical application of fluoride varnish <1% 1,207 $21K
D3221 <1% 528 $21K
97164 <1% 2,075 $20K
85027 <1% 700 $20K
90461 <1% 6,453 $18K
92002 <1% 155 $17K
G9903 Patient screened for tobacco use and identified as a tobacco non-user <1% 43,117 $16K
99381 <1% 283 $16K
G0435 Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening <1% 293 $16K
99173 <1% 16,861 $16K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,406 $16K
90715 <1% 2,969 $15K
86580 <1% 831 $14K
92523 <1% 142 $14K
97802 <1% 284 $14K
90746 <1% 1,081 $13K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 631 $13K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 280 $13K
G0467 Community health center visit, returning patient <1% 13,000 $13K
82043 <1% 1,115 $12K
97035 <1% 3,894 $12K
D1310 <1% 11,620 $11K
D0603 <1% 8,747 $11K
97168 <1% 1,209 $10K
1126F <1% 28,359 $9K
D2331 <1% 106 $9K
97803 <1% 177 $8K
D2335 <1% 90 $8K
D9990 <1% 293 $8K
90707 <1% 1,111 $8K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 44 $7K
90736 <1% 542 $7K
98926 <1% 100 $7K
90620 <1% 1,369 $7K
92555 <1% 138 $7K
90853 Group psychotherapy (other than of a multiple-family group) <1% 61 $6K
D0190 <1% 2,608 $5K
D2330 <1% 68 $5K
90710 <1% 1,169 $5K
D2751 Crown - porcelain fused to predominantly base metal <1% 27 $5K
99384 <1% 141 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 127 $5K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 117 $5K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 81 $4K
D0170 <1% 47 $4K
85018 <1% 146 $4K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 310 $4K
83655 <1% 146 $4K
D0602 <1% 498 $4K
99386 <1% 69 $4K
90633 <1% 2,302 $4K
G8420 Bmi is documented within normal parameters and no follow-up plan is required <1% 4,219 $4K
3077F <1% 7,720 $4K
76830 Ultrasound, transvaginal <1% 88 $4K
86480 <1% 74 $4K
99383 <1% 139 $3K
90834 Psychotherapy session, about 45 minutes <1% 31 $3K
90716 <1% 1,107 $3K
11721 <1% 131 $3K
3725F <1% 39,105 $3K
97116 <1% 648 $3K
90847 Family psychotherapy with the patient present, 50 minutes <1% 53 $3K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 58 $3K
3075F <1% 9,891 $3K
98925 <1% 484 $2K
90734 <1% 1,848 $2K
87086 Culture, bacterial; quantitative colony count, urine <1% 47 $2K
90792 Psychiatric diagnostic evaluation with medical services <1% 19 $2K
90677 <1% 225 $2K
90662 <1% 400 $2K
3078F <1% 66,526 $2K
87077 <1% 69 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 128 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 176 $2K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 124 $2K
90472 Immunization administration, each additional vaccine (list separately) <1% 1,001 $2K
86708 <1% 193 $2K
99382 <1% 41 $2K
90656 <1% 1,628 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 231 $1K
59430 <1% 27 $1K
D0273 <1% 42 $1K
99429 <1% 596 $1K
D2940 <1% 24 $1K
D0460 <1% 103 $1K
81001 <1% 85 $1K
D0180 <1% 66 $1K
99397 <1% 13 $1K
98966 <1% 44 $866.64
90647 <1% 934 $826.16
1159F <1% 15,951 $807.84
90723 <1% 1,175 $800.00
90673 <1% 59 $699.34
90480 <1% 66 $662.76
97804 <1% 12 $600.00
71046 Radiologic examination, chest; 2 views <1% 14 $600.00
1125F <1% 5,618 $574.70
92283 <1% 212 $529.40
G9902 Patient screened for tobacco use and identified as a tobacco user <1% 3,577 $520.05
97167 <1% 13 $493.65
90700 <1% 267 $466.15
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only <1% 1,007 $437.49
0002A <1% 15 $435.62
90698 <1% 535 $414.52
91322 <1% 55 $404.56
92582 <1% 24 $330.80
G0008 Administration of influenza virus vaccine <1% 341 $323.08
90636 <1% 13 $320.03
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 89 $312.48
G0433 Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening <1% 20 $310.81
90696 <1% 1,104 $300.00
90681 <1% 1,173 $200.00
90691 <1% 37 $200.00
58301 <1% 12 $168.90
97039 <1% 408 $144.01
90680 <1% 282 $100.00
87340 <1% 53 $93.42
88142 <1% 14 $75.03
D1320 <1% 12 $54.55
3079F <1% 19,434 $50.07
73560 <1% 12 $50.00
86592 <1% 93 $48.93
86803 <1% 46 $47.69
90668 <1% 29 $43.42
97032 <1% 47 $17.67
99406 <1% 14 $14.13
92558 <1% 56 $8.28
1160F <1% 15,974 $0.60
90619 <1% 650 $0.10
90697 <1% 220 $0.07
3044F <1% 6,230 $0.04
90671 <1% 121 $0.03
91301 <1% 512 $0.01
91300 <1% 20 $0.01
3080F 0% 3,694 $0.00
1170F 0% 100 $0.00
3052F 0% 545 $0.00
D0601 0% 14 $0.00
1034F 0% 1,883 $0.00
3011F 0% 121 $0.00
3017F 0% 218 $0.00
D9215 0% 13 $0.00
99080 0% 5,659 $0.00
4013F 0% 167 $0.00
3028F 0% 745 $0.00
3051F 0% 1,086 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 2,159 $0.00
3046F 0% 1,102 $0.00
90648 0% 436 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 0% 53 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 0% 534 $0.00
G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv 0% 14 $0.00
1158F 0% 420 $0.00
90621 0% 17 $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 officialHARTNETT, MARY (CFO)
Same official

Other billing entities under HARTNETT, MARY

Full network →

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