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 1790823797)

Field	Value
Entity Type	Organization
Organization	Unity Health Care, Inc
Address	765 Kenilworth Ter Ne
City	Washington
State	DC
ZIP	20019
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	February 2, 2007

Payer Source	Total Paid
Medicaid	$16.8M
Medicare	$0

Key Findings

UNITY HEALTH CARE, INC reports no Medicare billing on file and $16.8M in lifetime Medicaid revenue, meaning Medicaid is effectively the sole payer in the dataset for this entity and all analyzed revenue patterns are driven by Medicaid activity. This profile should be read as a Medicaid-centric operation rather than a mixed Medicare/Medicaid provider in the available data.

Revenue is highly concentrated in three Medicaid procedure codes: T1015 ($8.7M, 51.7%), T2022 ($5M, 29.8%), and T2023 ($2.9M, 17.2%); the precomputed top-three share for these codes is 98.7% of the provider’s total Medicaid revenue. This concentration implies that nearly all billable Medicaid dollars flow from bundled clinic encounters and case-management services rather than a broad mix of procedure-level billing.

The top revenue-driving code mix (T1015, T2022, T2023) aligns with the provider’s Federally Qualified Health Center (FQHC) taxonomy: T1015 reflects all-inclusive clinic visit/encounter billing and both T2022 and T2023 are monthly case-management codes. Collectively, these suggest the organization operates as an FQHC-focused primary care and care-management provider with large volumes of recurring case-management encounters rather than revenue coming from discrete procedure volumes.

Competitive standing in-state is strong for the provider’s dominant codes: T2022 and T2023 both rank #1 in-state (100th percentile) and are described as an extreme outlier and notably above typical state volume respectively, while T1015 ranks #7 of 97 providers (94th percentile) and is notably above typical state volume. These rankings indicate the provider is a leading, high-volume Medicaid player for case management and FQHC clinic encounters within the state.

Operational nuance: several high-claim CPT codes appear with large claim counts but $0 avg paid/claim (for example, 99213 with 55.2K claims, G0467 with 14.6K claims, and 99214 with 11.2K claims). Because these high-count codes do not contribute recorded paid revenue here, the dataset suggests Medicaid reimbursement for this FQHC is being captured primarily through encounter and monthly case-management codes (T1015/T2022/T2023) rather than fee-for-service payments on individual E/M codes.

Dental and ancillary procedure lines are present but represent a very small share of Medicaid revenue: several D-codes (for example D0330, D0120, D0150) together contribute less than 1% of total Medicaid revenue each. This reinforces that the provider’s financial footprint in Medicaid is dominated by primary care/management encounters rather than dental or procedure-driven income.

Tenure and stability: the provider’s NPI was enumerated on 2007-02-02 (~19 years ago), indicating long-standing enrollment and likely operational stability in the market. That tenure, combined with top state rankings on case-management codes, supports the conclusion that these billing patterns are persistent and institutionally embedded rather than a short-term fluctuation.

For payers and network planners, the combination of Medicaid-only revenue in the file, extreme concentration in T2022/T2023/T1015 (98.7% of Medicaid revenue), and #1 statewide ranks on the case-management codes suggests UNITY HEALTH CARE, INC should be treated as a specialist in high-volume Medicaid case management and bundled FQHC encounters when assessing contracting, care-management partnerships, or utilization-management strategies.

Medicaid: Complete Services Breakdown

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

84 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	100,030	$90	$8.7M
T2022	Case management, per month	39,550	$130	$5M
T2023	Targeted case management; per month	11,330	$260	$2.9M
D0330	N/A	1,180	$50	$54.3K
D0120	Periodic oral evaluation - established patient	1,780	$20	$41K
D0150	Comprehensive oral evaluation – new or established patient	540	$70	$35.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	580	$60	$32.3K
D0140	Limited oral evaluation – problem focused	970	$30	$31.9K
D0274	N/A	770	$30	$26.2K
D0220	Intraoral - periapical first radiographic image	320	$10	$4.2K

Showing 1–10 of 84

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 — 2 of 11 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

84 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	7	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…	10	30	5,420	$40	$946K
T2022	Case management, per month	1	10	2,540	$120	$728.6K
T2023	Targeted case management; per month	1	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,…	14	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…	117	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…	16	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…	12	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…	20	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…	13	20	620	$110	$314.3K

Showing 1–10 of 84

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	$48M
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
Mbi Health Services LLC	DC	Community/Behavioral Health Agency	$0	$270.4M
Psi Services Iii, Inc	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$24.8M
Abundant Grace Health Services LLC	DC	Community/Behavioral Health Agency	$0	$21.9M
Family Preservation Services Of Dc	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.7M
Lifeline, Inc	DC	Home Health Agency	$0	$12.2M
Mbi Health Services LLC	DC	Case Management Agency	$0	$10.9M
New Living Health Care Services LLC	DC	Community/Behavioral Health Agency	$0	$9M
Dental Dreams PLLC	DC	General Practice Dentistry	$0	$8.1M
Kenilworth Avenue North Services	DC	Assisted Living Facility	$0	$6.7M
Psi Services Iii, Inc	DC	Clinic/Center	$0	$6.5M

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