Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidUnited Community And Family Services, Inc.
    Ask Trek AI about this page

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

    NPI 1558366757 · Norwich, CT · Federally Qualified Health Center (FQHC)

    Customize your policy alerts

    Sign up for United Community And Family Services, Inc. — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    United Community And Family Services, Inc. is a federally qualified health center (fqhc) provider located in Norwich, Connecticut. This profile covers 0 Medicare and 24 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationUnited Community And Family Services, Inc.
    Address47 Town Street
    CityNorwich
    StateCT
    ZIP06360
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedJune 15, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$63.8M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer in the claims dataset: Total Medicare revenue is listed as none while Total Medicaid revenue is $63.8M, so Medicaid accounts for virtually all reported program revenue for UNITED COMMUNITY AND FAMILY SERVICES, INC. in this profile. Analysts should treat Medicaid as the primary payer when evaluating financial and service-line performance.

    Revenue is extremely concentrated among a tiny set of Medicaid codes: the precomputed top‑3 codes account for 99.9% of the provider’s total Medicaid revenue, with T1015 alone representing $62.8M (98.5% of Medicaid revenue) from 419K claims at a $150 avg paid/claim. This concentration indicates that a single, all‑inclusive encounter payment drives nearly the entire recorded Medicaid income stream.

    The code mix and revenue drivers align with an FQHC operating model: T1015 (Clinic visit/encounter, all-inclusive) as the dominant revenue source is consistent with per‑encounter bundled payments typical of federally qualified health centers. Secondary contributions from G2025 (telehealth distant site) and G0470 (FQHC mental health established patient) — $655K and $223.1K respectively — indicate the organization supplements in‑person clinic bundles with telehealth and billed mental‑health FQHC visit codes.

    Competitive standing by code shows a mixed picture: for T1015 the provider ranks #9 of 73 in‑state (89th percentile) which the data labels as typical/unremarkable volume despite the high absolute revenue share, while G0470 ranks #2 of 25 (96th percentile) and is described as notably above typical state volume, implying particular strength in FQHC mental‑health established patient visits. G2025 telehealth activity ranks #5 of 27 (85th percentile), which is again characterized as a typical but meaningful state‑level presence.

    Behavioral health CPT volumes create an important operational signal distinct from revenue: several psychotherapy and psychiatric evaluation codes report very large claim counts but $0 avg paid/claim and $0 recorded revenue in this dataset — for example 90834 has 153.8K claims ($0 avg paid, $0 revenue) and is flagged as an extreme outlier (rank #1 of 571, 100th percentile). These entries suggest substantial delivered service volume that does not translate to Medicaid paid revenue in the available files and should prompt a data reconciliation if billed service counts are material to utilization analysis.

    Telehealth is a visible, revenue‑generating line: G2025 shows 9.8K claims with $655K revenue at a $67 avg paid/claim and ranks #5 of 27 in‑state (85th percentile). This indicates the center has an established telehealth distant‑site FQHC billing activity that contributes meaningfully to its non‑T1015 Medicaid revenue.

    Operational interpretation: the dominance of T1015 (98.5% of Medicaid revenue) combined with many high‑volume CPTs showing $0 paid suggests the provider’s recorded Medicaid revenue profile may understate the breadth of clinical activity. Analysts should treat revenue‑based conclusions cautiously and cross‑check encounter or supplemental payment sources when assessing service capacity or per‑visit economics.

    The organization has long tenure in the NPI registry, enumerated on 2005-06-15 (~21 years ago), signaling an established FQHC presence in Norwich, CT. That tenure, combined with the heavy reliance on FQHC encounter bundles, supports a view of a stable, clinic‑based operation focused on ambulatory and behavioral health services within the Medicaid population.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive418,960$150$62.8M
    G2025Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only9,780$70$655K
    G0470Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…13,940$20$223.1K
    G0467Federally 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…4,070$20$73.2K
    1159FNo Summary found for this code1,060$0$0
    1160FNo Summary found for this code1,060$0$0
    3008FNo Summary found for this code40$0$0
    3074FNo Summary found for this code50$0$0
    3078FNo Summary found for this code40$0$0
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.2,080$0$0

    Showing 1–10 of 24

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Connecticut median

    24 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive970830$150$24M
    99214The 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…3561,590740$50$331.8K
    G2025Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only5302,590$60$278.5K
    99213The 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…491,710750$30$243.3K
    90847A 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…26150290$80$206.3K
    90837In 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…3122,180850$90$202.1K
    90832In 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…94201,230$20$199.3K
    90834In 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…1570410$50$197.6K
    90853Group 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…543002,660$20$181.1K
    G0467Federally 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…18306,140$20$180.2K

    Showing 1–10 of 24

    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.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northeast Medical Group, Inc.CTInternal Medicine Physician$0$59.6M
    United Community And Family Services, Inc.CTFederally Qualified Health Center (FQHC)$0$24.8M
    United Community And Family Services, IncCTFederally Qualified Health Center (FQHC)$0$7.7M
    Mallory DevonaCTCounselor$0$1.2M
    Tonya HallCTGastroenterology Physician$75.5K$0
    John KempCTPsychiatric/Mental Health Nurse Practitioner$36.2K$0
    Alexa CanavanCTAdult Health Nurse Practitioner$28.8K$0
    Rena LitwinCTClinical Social Worker$1.3K$0
    Carter FishCTAdvanced 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.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The William W Backus HospitalCTGeneral Acute Care Hospital$0$163M
    American Ambulance Service, Inc.CTLand Ambulance$2.2M$12.4M
    City Of Norwich Board Of EducationCTLocal Education Agency (LEA)$0$6.7M
    Norwich Pediatric Group, P.C.CTPediatrics Physician$0$3.4M
    Norwich Ophthalmology Group, P.C.CTOphthalmology Physician$0$2.9M
    Hi Dental Care LLCCTDental Clinic/Center$0$2.7M
    Ob-gyn Services, P.C.CTObstetrics & Gynecology Physician$0$2.3M
    The William W Backus HospitalCTGeneral Acute Care Hospital$0$2.3M
    Ravi PrakashCTPediatrics Physician$0$2.1M
    Eastern Connecticut Hematology & Oncology Associates PCCTHematology & Oncology Physician$0$2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Connecticut Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Connecticut Distribution
    United Community And Family Services, Inc. — 1 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut