Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. District of Columbia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Unity Health Care, Inc. (NPI 1093894172)

Field	Value
Entity Type	Organization
Organization	Unity Health Care, Inc.
Address	3020 14th St Nw
City	Washington
State	DC
ZIP	20009
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	November 2, 2006

Payer Source	Total Paid
Medicaid	$48M
Medicare	$0

Key Findings

UNITY HEALTH CARE, INC. reports no Medicare billing on file and all documented federal revenue activity is from Medicaid, with total Medicaid revenue of $48M. This makes the organization effectively a single-payer (Medicaid) operation in the available records, so analyses of payer mix and rate sensitivity should focus on Medicaid policy and reimbursement changes rather than Medicare dynamics.

Revenue is extremely concentrated: the precomputed top three Medicaid codes account for 99.2% of the provider's total Medicaid revenue. Specifically, T1015 represents 66.0% of the provider's Medicaid revenue, G0467 represents 33.0%, and 99213 represents 0.2% — together forming the dominant revenue base for this entity.

The code mix and descriptions align with an FQHC operational model: T1015 (Clinic visit/encounter, all-inclusive) and G0467 (FQHC visit, established patient) together dominate revenue, indicating care is delivered primarily through bundled clinic/FQHC encounter payments rather than stand-alone office E/M billing. The presence of large volumes billed to these encounter codes suggests high-throughput primary care and bundled-service delivery consistent with a Federally Qualified Health Center taxonomy.

Competitive standing within the state is dominant for the two principal codes: T1015 ranks #1 of 97 providers in-state (100th percentile; extreme outlier, far above typical state volume) and G0467 ranks #1 of 31 providers in-state (100th percentile; extreme outlier, far above typical state volume). For 99213 the provider ranks #3 of 316 providers in-state (99th percentile; extreme outlier), indicating it is also an unusually large user of that code relative to peers despite the code contributing only 0.2% of its Medicaid revenue.

High claim volumes underline operational scale: the data show 320.1K T1015 claims and 386.3K G0467 claims, along with 103.9K claims for 99213. These large claim counts combined with low average paid/claim for some codes (for example $1 avg paid/claim on 99213) point to a high-volume, low-unit-price service model in which bundled FQHC encounter payments capture most clinical activity and reimbursement.

The organization’s revenue profile is concentrated in just two bundled encounter codes, which creates material concentration risk: any state policy, rate-setting, or coding guidance that affects T1015 or G0467 reimbursement or eligibility could materially change the provider’s Medicaid revenue. Ancillary service lines such as dental and pediatric preventive visits appear in the claims mix but contribute only modestly to total revenue, so they do not offset that concentration.

The provider’s NPI was enumerated on 2006-11-02 (~20 years ago), indicating long-term establishment in the market. That tenure, combined with the FQHC taxonomy and the dominant encounter-code footprint, suggests a sustained community health center model with entrenched high-volume Medicaid delivery rather than a newer or narrowly focused specialty practice.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

127 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	320,110	$100	$31.7M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	386,270	$40	$15.8M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	103,910	$1	$103.9K
D0120	Periodic oral evaluation - established patient	3,770	$30	$94.3K
D1208	Topical application of fluoride - excluding varnish	3,560	$20	$71.1K
D1120	Prophylaxis–child	1,440	$50	$64.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,160	$40	$40.6K
D0140	Limited oral evaluation – problem focused	780	$20	$18.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	16,280	$1	$16.3K
D0330	N/A	560	$20	$13.3K

Showing 1–10 of 127

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other District of Columbia providers billing the same CPT/HCPCS codes.

Claims Volume vs. District of Columbia Distribution

Unity Health Care, Inc. — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. District of Columbia median

127 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	1	100	160	$110	$1.9M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	1	30	5,420	$40	$946K
T2022	Case management, per month	9	10	2,540	$120	$728.6K
T2023	Targeted case management; per month	8	10	1,230	$180	$599.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	3	130	290	$140	$579.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	109	120	1,050	$110	$409.5K
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	11	20	80	$210	$398.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5	30	350	$110	$345.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	9	310	750	$70	$321.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5	20	620	$110	$314.3K

Showing 1–10 of 127

Related Providers

Other providers that share a Tax Identification Number (TIN) with Unity Health Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$16.8M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$10.2M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$8.9M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$7.4M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$5.3M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$2.3M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$2.3M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$1.2M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$834.7K
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$668.6K

Nearby Providers

Other providers in the same ZIP code as Unity Health Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mary's Center For Maternal And Child Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$56.6M
Community Of Hope, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$3.6M
La Clinica Del Pueblo, Inc.	DC	Federally Qualified Health Center (FQHC)	$0	$2.7M
Core Dc LLC	DC	Case Management Agency	$0	$2.6M
Sharmin Dental Clinic, P.C.	DC	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.8M
Nuvaya, Inc	DC	Substance Abuse Rehabilitation Facility	$0	$1.6M
Samuel Antwi	DC	Family Nurse Practitioner	$16K	$1.5M
Lenox Medical Supply Services, LLC	DC	Durable Medical Equipment & Medical Supplies	$0	$1M
Latin American Youth Center	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$576K
Joel Ang	DC	Family Medicine Physician	$575.1K	$0

Unity Health Care, Inc. — Billing Profile & Reimbursement Data

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Unity Health Care, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References