Clinic
Union Community Care
Union Community Care was paid $8.84M by Medicaid between Jan 2018 and Dec 2024, across 79 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
33aNPI1801853346assigned 04/27/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$8.84M
24GClaims216,601
24DCodes billed79
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#34 of 240
Median peer was paid$909K
This provider vs. median9.7×
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 | 5,687 | $245K | |
| 2019 | 5,480 | $297K | |
| 2020 | 9,166 | $465K | |
| 2021 | 38,658 | $1.56M | |
| 2022 | 48,280 | $1.49M | |
| 2023 | 55,143 | $1.65M | |
| 2024incomplete | 54,187 | $3.14M |
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% | 53,657 | 47,616 | $8.76M |
| 3078F | <1% | 11,848 | 11,323 | $15K | |
| 3074F | <1% | 14,110 | 13,437 | $15K | |
| 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% | 15,143 | 13,812 | $13K |
| 3079F | <1% | 5,414 | 5,220 | $11K | |
| 3077F | <1% | 1,652 | 1,569 | $7K | |
| 3075F | <1% | 2,289 | 2,206 | $7K | |
| 3080F | <1% | 789 | 754 | $3K | |
| D1110 | Prophylaxis - adult | <1% | 1,070 | 1,032 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 968 | 931 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 1,224 | 1,157 | $1K |
| 0071A | <1% | 26 | 26 | $1K |
67 more codes
| D1120 | Dental cleaning, child | <1% | 1,894 | $800.00 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 202 | $780.00 |
| 3725F | <1% | 5,950 | $664.49 | |
| 90686 | <1% | 1,373 | $555.28 | |
| D0274 | Bitewings - four radiographic images | <1% | 834 | $553.00 |
| D1206 | Topical application of fluoride varnish | <1% | 2,329 | $522.00 |
| 0013A | <1% | 13 | $520.00 | |
| 0072A | <1% | 13 | $520.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 8,655 | $451.70 |
| 97803 | <1% | 440 | $290.80 | |
| D1351 | Sealant - per tooth | <1% | 451 | $275.00 |
| 0011A | <1% | 15 | $240.00 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,426 | $208.00 |
| 0012A | <1% | 13 | $200.00 | |
| D0272 | Bitewings - two radiographic images | <1% | 151 | $192.00 |
| D0330 | Panoramic radiographic image | <1% | 190 | $185.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 364 | $175.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,296 | $168.09 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 91 | $162.75 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 407 | $150.00 |
| 96127 | <1% | 1,979 | $98.02 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 263 | $90.00 |
| 0004A | <1% | 13 | $80.00 | |
| 0124A | <1% | 34 | $80.00 | |
| 99173 | <1% | 1,593 | $57.67 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 558 | $40.00 |
| 90658 | <1% | 59 | $32.24 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 382 | $24.00 |
| D1310 | <1% | 813 | $10.87 | |
| 92551 | <1% | 757 | $7.20 | |
| D1330 | <1% | 2,909 | $0.02 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,225 | $0.01 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 209 | $0.00 |
| 1159F | 0% | 14,413 | $0.00 | |
| 92552 | 0% | 496 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 99 | $0.00 |
| 96160 | 0% | 344 | $0.00 | |
| 1160F | 0% | 15,394 | $0.00 | |
| 90461 | 0% | 377 | $0.00 | |
| D0270 | 0% | 178 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 124 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 102 | $0.00 |
| 80305 | 0% | 286 | $0.00 | |
| D0190 | 0% | 675 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 76 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 13 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 56 | $0.00 |
| 90715 | 0% | 29 | $0.00 | |
| 99408 | 0% | 93 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 39 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 18 | $0.00 |
| 1036F | 0% | 12,332 | $0.00 | |
| 90674 | 0% | 265 | $0.00 | |
| 3008F | 0% | 20,943 | $0.00 | |
| 1034F | 0% | 3,000 | $0.00 | |
| D0603 | 0% | 1,378 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 39 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 13 | $0.00 |
| 1000F | 0% | 474 | $0.00 | |
| 4000F | 0% | 29 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 37 | $0.00 |
| 91307 | 0% | 33 | $0.00 | |
| 97802 | 0% | 51 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 25 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 52 | $0.00 |
| 90480 | 0% | 12 | $0.00 | |
| 1035F | 0% | 15 | $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 | $11.57M |
| 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.