Unity Healthcare
Unity Healthcare was paid $2.09M by Medicaid between Dec 2019 and Nov 2024, across 7 billing codes. Its largest line is G0482, Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed — 65% of everything it billed.
HUNTERSVILLE, NC 28078
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 65 | $8K | |
| 2020 | 2,312 | $264K | |
| 2021 | 5,160 | $556K | |
| 2022 | 5,440 | $519K | |
| 2023 | 4,818 | $440K | |
| 2024incomplete | 3,608 | $302K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed | 65% | 10,349 | 3,638 | $1.35M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 32% | 10,450 | 3,687 | $658K |
| 99236 | Prolong inpt eval add15 m | 2.7% | 371 | 238 | $56K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.1% | 173 | 117 | $23K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 18 | 17 | $1K |
| 99442 | <1% | 26 | 15 | $218.45 | |
| 96127 | <1% | 16 | 14 | $59.50 |
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.