Union Community Care
Union Community Care was paid $945K by Medicaid between Jul 2020 and Dec 2024, across 27 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 | |
|---|---|---|---|
| 2020 | 767 | $41K | |
| 2021 | 6,106 | $205K | |
| 2022 | 6,198 | $209K | |
| 2023 | 6,049 | $202K | |
| 2024incomplete | 4,366 | $287K |
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% | 4,751 | 4,520 | $942K |
| 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% | 1,291 | 1,227 | $901.33 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 219 | 215 | $534.87 |
| 99173 | <1% | 1,199 | 1,179 | $438.18 | |
| 3078F | <1% | 2,199 | 2,101 | $380.00 | |
| 3074F | <1% | 2,387 | 2,275 | $355.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 342 | 332 | $207.00 |
| 96127 | <1% | 281 | 272 | $117.49 | |
| 3079F | <1% | 15 | 15 | $100.00 | |
| 92551 | <1% | 380 | 367 | $90.85 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 815 | 792 | $27.73 |
| 90461 | <1% | 289 | 285 | $0.03 |
15 more codes
| 1160F | 0% | 2,423 | $0.00 | |
| 90715 | 0% | 29 | $0.00 | |
| 1159F | 0% | 1,863 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 45 | $0.00 |
| 3725F | 0% | 156 | $0.00 | |
| 90649 | 0% | 53 | $0.00 | |
| 92552 | 0% | 570 | $0.00 | |
| 90658 | 0% | 18 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 299 | $0.00 |
| 90734 | 0% | 32 | $0.00 | |
| 3008F | 0% | 2,413 | $0.00 | |
| 1036F | 0% | 1,080 | $0.00 | |
| 90686 | 0% | 161 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| 1000F | 0% | 164 | $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 | $21.18M |
| 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 | 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.