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 New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York 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. New York (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.

Union Community Health Center, Inc. (NPI 1437255155)

Field	Value
Entity Type	Organization
Organization	Union Community Health Center, Inc.
Address	260 E 188th St
City	Bronx
State	NY
ZIP	10458
Taxonomy	Clinic/Center
NPI Enumerated	September 16, 2006

Payer Source	Total Paid
Medicaid	$88.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

260 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	311,410	$50	$15.9M
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…	261,830	$40	$9.4M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	174,500	$50	$9.2M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	40,280	$90	$3.7M
D0120	Periodic oral evaluation - established patient	125,510	$30	$3.6M
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	138,620	$30	$3.6M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	83,250	$40	$3.3M
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,…	55,310	$50	$2.9M
D0140	Limited oral evaluation – problem focused	59,190	$40	$2.6M
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	126,870	$20	$2.4M

Showing 1–10 of 260

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Union Community Health Center, Inc. — 23 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

260 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	64	1,510	1,010	$110	$1.1M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2,060	2,200	1,010	$130	$892.2K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	160	750	1,800	$80	$785.8K
D8670	N/A	63	430	1,210	$170	$513.1K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	282	350	350	$210	$393.4K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	554	620	1,130	$60	$370.5K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	5	2,060	1,300	$60	$322.2K
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…	24	19,110	360	$70	$321K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	271	590	1,160	$20	$277.2K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	17	2,430	1,310	$40	$257.8K

Showing 1–10 of 260

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dimitria Papadopoulos	NY	Dermatology Physician	$246.3K	$0
Vesna Micic	NY	Neurology with Special Qualifications in Child Neurology Physician	$82.1K	$55K
Peter Hobeika	NY	Diagnostic Radiology Physician	$127.3K	$2.4K
Yelena Lindenbaum	NY	Neurology Physician	$45.1K	$0

Nearby Providers

Other providers in the same ZIP code as Union Community Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Horizon Home Care Services, Inc.	NY	Home Health Agency	$0	$329.6M
Cooperative Home Care Associates, Inc	NY	Home Health Agency	$0	$269.4M
Cooperative Home Care Associates, Inc	NY	Home Health Agency	$0	$38.9M
Medalliance Medical Health Services Inc	NY	Clinic/Center	$0	$32.5M
Mark Fromer, LLC	NY	Ambulatory Surgical Clinic/Center	$409.1K	$1.9M
Mitchell Butin	NY	Psychiatry Physician	$423.7K	$0
Medassure LLC	NY	Community/Retail Pharmacy	$86.5K	$87.8K
Darren Esposito	NY	Internal Medicine Physician	$121.5K	$10.7K
Rachel Spiers	NY	Occupational Therapist	$7.8K	$0

Union Community Health Center, Inc. — Billing Profile & Reimbursement Data

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Union Community Health Center, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References