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

Why is the Medicaid comparison limited to Connecticut 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. Connecticut (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.

United Community And Family Services, Inc. (NPI 1467482539)

Field	Value
Entity Type	Organization
Organization	United Community And Family Services, Inc.
Address	47 Town Street
City	Norwich
State	CT
ZIP	06360
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 4, 2006

Payer Source	Total Paid
Medicaid	$24.8M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused FQHC: there is no Medicare billing on file while reported Medicaid lifetime revenue is $24.8M, indicating single-payer concentration at scale in Medicaid rather than a split Medicare/Medicaid practice mix. Tenure of the NPI (enumerated 2006-07-04, ~20 years ago) supports a longstanding community health presence focused on Medicaid populations.

Revenue is extremely concentrated in a single bundled clinic visit code: the precomputed top-3 Medicaid codes account for 99.1% of the provider’s total Medicaid revenue, with T1015 contributing $24.3M (97.7%), G2025 $200.3K (0.8%), and G0511 $151.2K (0.6%). This concentration shows the business depends overwhelmingly on a few visit- or program-level Medicaid reimbursements rather than a diversified set of fee-for-service procedures.

T1015 (Clinic visit/encounter, all-inclusive) dominance implies the organization operates primarily on bundled, per-encounter FQHC clinic payments consistent with a federally qualified health center model; the code mix suggests most clinical activity and reimbursement flow through comprehensive visit payments rather than discrete procedure-level billing. This pattern aligns with primary care, preventive, and care-coordination services commonly provided by FQHCs.

Despite T1015 driving nearly all Medicaid revenue, the provider’s state competitive standing on that code is modest: T1015 ranks #17 of 73 providers in-state (78th percentile) and is labeled typical/unremarkable volume. Similarly, G2025 (telehealth distant site) ranks #13 of 27 (54th percentile) and G0511 (general care management) ranks #11 of 17 (38th percentile), both described as typical volumes rather than dominant positions in Connecticut.

Operationally the billing mix highlights telehealth and chronic care management offerings: G2025 appears with 3.3K claims and $200.3K revenue and G0511 with 4.2K claims and $151.2K revenue, indicating the FQHC is billing for rural/telehealth distant-site encounters and per‑month care management services in addition to bundled clinic visits. These services supplement the core clinic revenue but remain small shares of total Medicaid revenue.

There is evidence of very high visit volume billed under standard evaluation and management codes: 99213 shows 93.2K claims and $93.2K revenue and ranks #28 of 1714 providers in-state (98th percentile), described as notably above typical state volume. This suggests heavy utilization of low‑paid E/M encounters—consistent with high patient throughput typical in community health centers.

Preventive and behavioral health screening activity is a clear operational emphasis: G0444 (annual depression screening) has 1.1K claims, $1.1K revenue and ranks #1 of 37 providers in-state (100th percentile), labeled an extreme outlier. High rankings on screening and brief behavioral assessments (for example 96127 with 21.5K claims, $0 revenue, rank #12 of 288, 96th percentile) point to substantial investment in behavioral health screening and documentation workflows.

Numerous high-claim lines show $0 avg paid/claim (examples include 1159F 31.9K claims $0 revenue, 96127 21.5K claims $0 revenue, 99214 20.6K claims $0 revenue, and 3008F 37.6K claims $0 revenue), which is consistent with many ancillary codes being billed but reimbursed through bundled visit payments or alternative payment arrangements. Analysts should interpret high claim counts with $0 revenue in the context of the dominant T1015 bundle rather than as independent revenue drivers.

Medicaid: Complete Services Breakdown

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

105 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	179,680	$140	$24.3M
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	3,280	$60	$200.3K
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	4,200	$40	$151.2K
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…	15,080	$10	$120.7K
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…	93,210	$1	$93.2K
83037	The analyst performs a test using a drop of blood obtained by fingerstick or venipuncture from the patient to rapidly measure the level of glycosylated hemoglobin, HgbA1c. The analyst uses a device…	940	$10	$5.7K
82947	The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip.	310	$10	$1.8K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	90	$20	$1.6K
G0444	Annual depression screening, 5 to 15 minutes	1,070	$1	$1.1K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	710	$1	$710

Showing 1–10 of 105

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

United Community And Family Services, Inc. — 2 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

105 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	17	70	830	$150	$24M
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	11	20	6,040	$40	$952.7K
0241U	N/A	25	40	1,300	$110	$523.5K
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…	92	1,590	740	$50	$331.8K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	13	30	2,590	$60	$278.5K
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…	28	1,710	750	$30	$243.3K
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…	43	170	850	$80	$203.5K
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…	9	30	6,140	$20	$180.2K
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…	34	160	680	$70	$166.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	32	180	710	$70	$151.2K

Showing 1–10 of 105

Related Providers

Other providers that share a Tax Identification Number (TIN) with United Community And Family Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Community And Family Services, Inc.	CT	Federally Qualified Health Center (FQHC)	$0	$63.8M
Northeast Medical Group, Inc.	CT	Internal Medicine Physician	$0	$59.6M
United Community And Family Services, Inc	CT	Federally Qualified Health Center (FQHC)	$0	$7.7M
Mallory Devona	CT	Counselor	$0	$1.2M
Tonya Hall	CT	Gastroenterology Physician	$75.5K	$0
John Kemp	CT	Psychiatric/Mental Health Nurse Practitioner	$36.2K	$0
Alexa Canavan	CT	Adult Health Nurse Practitioner	$28.8K	$0
Rena Litwin	CT	Clinical Social Worker	$1.3K	$0
Carter Fish	CT	Advanced Practice Midwife	$370	$0

Nearby Providers

Other providers in the same ZIP code as United Community And Family Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The William W Backus Hospital	CT	General Acute Care Hospital	$0	$163M
American Ambulance Service, Inc.	CT	Land Ambulance	$2.2M	$12.4M
City Of Norwich Board Of Education	CT	Local Education Agency (LEA)	$0	$6.7M
Norwich Pediatric Group, P.C.	CT	Pediatrics Physician	$0	$3.4M
Norwich Ophthalmology Group, P.C.	CT	Ophthalmology Physician	$0	$2.9M
Hi Dental Care LLC	CT	Dental Clinic/Center	$0	$2.7M
Ob-gyn Services, P.C.	CT	Obstetrics & Gynecology Physician	$0	$2.3M
The William W Backus Hospital	CT	General Acute Care Hospital	$0	$2.3M
Ravi Prakash	CT	Pediatrics Physician	$0	$2.1M
Eastern Connecticut Hematology & Oncology Associates PC	CT	Hematology & Oncology Physician	$0	$2M

United Community And Family Services, Inc. — Billing Profile & Reimbursement Data

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United Community And Family Services, 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