Clinic
Union Community Care
Union Community Care was paid $11.57M by Medicaid between Jan 2018 and Dec 2024, across 82 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoUNION COMMUNITY CARE
LANCASTER, PA 17602
LANCASTER, PA 17602
33aNPI1538681283assigned 07/14/2017
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$11.57M
24GClaims195,826
24DCodes billed82
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#27 of 240
Median peer was paid$909K
This provider vs. median13×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,763 | $119K | |
| 2019 | 1,665 | $124K | |
| 2020 | 6,655 | $448K | |
| 2021 | 32,071 | $2.37M | |
| 2022 | 51,261 | $2.77M | |
| 2023 | 59,846 | $2.66M | |
| 2024incomplete | 42,565 | $3.09M |
Box 24 · Service lines
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 | 99% | 61,141 | 53,267 | $11.51M |
| 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% | 25,867 | 22,801 | $7K |
| 3074F | <1% | 11,493 | 10,886 | $6K | |
| 3079F | <1% | 3,050 | 2,955 | $5K | |
| 0071A | <1% | 124 | 124 | $5K | |
| 3078F | <1% | 8,905 | 8,480 | $5K | |
| 0072A | <1% | 90 | 90 | $4K | |
| 0052A | <1% | 91 | 91 | $3K | |
| 0013A | <1% | 86 | 86 | $3K | |
| 0001A | <1% | 70 | 70 | $3K | |
| 3075F | <1% | 630 | 610 | $2K | |
| 0051A | <1% | 60 | 60 | $2K |
70 more codes
| 0003A | <1% | 53 | $2K | |
| 0002A | <1% | 47 | $2K | |
| 0054A | <1% | 50 | $2K | |
| 0064A | <1% | 31 | $1K | |
| 3077F | <1% | 220 | $1K | |
| 0011A | <1% | 62 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 679 | $1K |
| 3080F | <1% | 246 | $1K | |
| 0012A | <1% | 56 | $760.00 | |
| 92551 | <1% | 1,128 | $691.59 | |
| 99173 | <1% | 1,909 | $570.33 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 355 | $498.35 |
| 0004A | <1% | 12 | $480.00 | |
| 97803 | <1% | 205 | $362.80 | |
| 0053A | <1% | 18 | $360.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,914 | $290.80 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 9,040 | $142.13 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 261 | $80.46 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 181 | $69.88 |
| 97802 | <1% | 140 | $37.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,244 | $35.03 |
| 90686 | <1% | 1,713 | $27.72 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 735 | $26.00 |
| 90670 | <1% | 1,146 | $10.00 | |
| 3725F | <1% | 1,285 | $10.00 | |
| 90461 | <1% | 2,624 | $0.01 | |
| 1000F | 0% | 152 | $0.00 | |
| 3008F | 0% | 13,559 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,293 | $0.00 |
| 90723 | 0% | 829 | $0.00 | |
| 1036F | 0% | 8,751 | $0.00 | |
| 1034F | 0% | 854 | $0.00 | |
| 96161 | 0% | 229 | $0.00 | |
| 85018 | 0% | 101 | $0.00 | |
| 90674 | 0% | 255 | $0.00 | |
| 90677 | 0% | 173 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 291 | $0.00 |
| 91305 | 0% | 78 | $0.00 | |
| 91301 | 0% | 124 | $0.00 | |
| 96127 | 0% | 464 | $0.00 | |
| 1035F | 0% | 57 | $0.00 | |
| 90696 | 0% | 38 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 24 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 15 | $0.00 |
| 90716 | 0% | 27 | $0.00 | |
| 90480 | 0% | 34 | $0.00 | |
| 90688 | 0% | 43 | $0.00 | |
| 91307 | 0% | 122 | $0.00 | |
| 36416 | 0% | 25 | $0.00 | |
| 81002 | 0% | 184 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,871 | $0.00 |
| 1160F | 0% | 11,350 | $0.00 | |
| 90648 | 0% | 1,405 | $0.00 | |
| 1159F | 0% | 10,761 | $0.00 | |
| 90681 | 0% | 152 | $0.00 | |
| 80305 | 0% | 942 | $0.00 | |
| 90658 | 0% | 251 | $0.00 | |
| 90715 | 0% | 108 | $0.00 | |
| 81025 | 0% | 85 | $0.00 | |
| 92552 | 0% | 464 | $0.00 | |
| 83655 | 0% | 132 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 24 | $0.00 |
| 91300 | 0% | 66 | $0.00 | |
| 90633 | 0% | 285 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 14 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 80 | $0.00 |
| 90710 | 0% | 13 | $0.00 | |
| 59025 | Fetal non-stress test | 0% | 61 | $0.00 |
| 90734 | 0% | 25 | $0.00 | |
| 90707 | 0% | 54 | $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)
| Provider | Location | Paid |
|---|---|---|
| Union Community Care | Lancaster, PA | $21.18M |
| 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.