Union Community Care
Union Community Care was paid $5.24M by Medicaid between Dec 2018 and Dec 2024, across 59 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.
LEBANON, PA 17046
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 | |
|---|---|---|---|
| 2018 | 39 | $3K | |
| 2019 | 1,182 | $88K | |
| 2020 | 2,980 | $271K | |
| 2021 | 25,089 | $1.16M | |
| 2022 | 34,892 | $1.16M | |
| 2023 | 39,187 | $1.12M | |
| 2024incomplete | 28,009 | $1.45M |
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% | 28,777 | 25,643 | $5.20M |
| 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% | 14,270 | 12,982 | $5K |
| 3079F | <1% | 4,362 | 4,129 | $5K | |
| 3074F | <1% | 8,485 | 7,981 | $4K | |
| 0011A | <1% | 157 | 150 | $4K | |
| 3078F | <1% | 6,092 | 5,773 | $4K | |
| 3075F | <1% | 1,542 | 1,485 | $2K | |
| 3077F | <1% | 1,071 | 986 | $2K | |
| 0012A | <1% | 59 | 59 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 527 | 521 | $912.62 |
| 3080F | <1% | 755 | 705 | $905.00 | |
| 0001A | <1% | 28 | 28 | $880.00 |
47 more codes
| 99173 | <1% | 1,623 | $742.66 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 428 | $691.71 |
| 92551 | <1% | 1,161 | $661.64 | |
| 0064A | <1% | 15 | $600.00 | |
| 0072A | <1% | 14 | $560.00 | |
| 0013A | <1% | 13 | $480.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 3,077 | $423.58 |
| 96127 | <1% | 2,455 | $215.27 | |
| 3725F | <1% | 4,595 | $207.92 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 296 | $173.60 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 87 | $76.97 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,069 | $25.51 |
| G0008 | Administration of influenza virus vaccine | <1% | 67 | $20.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 487 | $0.02 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 260 | $0.01 |
| 1159F | 0% | 9,867 | $0.00 | |
| 1160F | 0% | 12,834 | $0.00 | |
| 80305 | 0% | 202 | $0.00 | |
| 99051 | 0% | 88 | $0.00 | |
| 92552 | 0% | 329 | $0.00 | |
| 90461 | 0% | 122 | $0.00 | |
| 90715 | 0% | 26 | $0.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 72 | $0.00 |
| 81002 | 0% | 55 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 27 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 551 | $0.00 |
| 90658 | 0% | 83 | $0.00 | |
| 90734 | 0% | 40 | $0.00 | |
| 97803 | 0% | 57 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 12 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 13 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 12 | $0.00 |
| 90633 | 0% | 12 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 158 | $0.00 |
| 1036F | 0% | 7,625 | $0.00 | |
| 3008F | 0% | 15,247 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 41 | $0.00 |
| 1034F | 0% | 1,556 | $0.00 | |
| 90651 | 0% | 49 | $0.00 | |
| 90686 | 0% | 322 | $0.00 | |
| 99383 | 0% | 39 | $0.00 | |
| 1000F | 0% | 14 | $0.00 | |
| 91307 | 0% | 14 | $0.00 | |
| 90674 | 0% | 73 | $0.00 | |
| 36416 | 0% | 14 | $0.00 | |
| 97802 | 0% | 25 | $0.00 | |
| 91301 | 0% | 27 | $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 | 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.