Is UNITED COMMUNITY AND FAMILY SERVICES, INC. flagged for Medicaid fraud?

UNITED COMMUNITY AND FAMILY SERVICES, INC. (NPI: 1558366757) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does UNITED COMMUNITY AND FAMILY SERVICES, INC. bill Medicaid?

UNITED COMMUNITY AND FAMILY SERVICES, INC. received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Federally Qualified Health Center (FQHC) provider. Located in NORWICH, CT.

What is NPI 1558366757?

NPI 1558366757 is the National Provider Identifier for UNITED COMMUNITY AND FAMILY SERVICES, INC.. They are a Clinic/Center, Federally Qualified Health Center (FQHC) provider based in NORWICH, CT. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

UNITED COMMUNITY AND FAMILY SERVICES, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·NORWICH, CT·NPI: 1558366757Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $63.7M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$63.7M

$63,676,362

Total Claims

799K

Beneficiaries

437K

1.8 claims/patient

Avg Cost/Claim

$80

Monthly Spending Trend

Yearly Spending

2018

$8.9M

+7%

2019

$9.5M

-3%

2020

$9.1M

+4%

2021

$9.5M

-7%

2022

$8.9M

+5%

2023

$9.3M

-8%

2024

$8.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 98% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1015Clinic visit/encounter, all-inclusiveSee all providers →

$62.7M

419K claims

$149.66

$121.16

1.2×

Normal range

T1015Normal range

Clinic visit/encounter, all-inclusive

$62.7M

419K claims · 98.5%

Your Cost: $149.66/claim|Median: $121.16

1.2× median

G2025 See all providers →

$659K

9,776 claims

$67.40

$15.63

4.3×

Top 10%

G2025Top 10%

$659K

9,776 claims · 1.0%

Your Cost: $67.40/claim|Median: $15.63

4.3× median

G0470Chronic care management services, FQHC/RHCSee all providers →

$218K

14K claims

$15.61

$45.95

0.3×

Normal range

G0470Normal range

Chronic care management services, FQHC/RHC

$218K

14K claims · 0.3%

Your Cost: $15.61/claim|Median: $45.95

0.3× median

G0467Federally qualified health center visit, mental healthSee all providers →

$74K

4,067 claims

$18.13

$21.91

0.8×

Normal range

G0467Normal range

Federally qualified health center visit, mental health

$74K

4,067 claims · 0.1%

Your Cost: $18.13/claim|Median: $21.91

0.8× median

90834Psychotherapy, 45 minutesSee all providers →

$13K

154K claims

$0.09

$63.65

0.0×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$13K

154K claims · 0.0%

Your Cost: $0.09/claim|Median: $63.65

0.0× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$7K

47K claims

$0.16

$37.81

0.0×

Normal range

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$7K

47K claims · 0.0%

Your Cost: $0.16/claim|Median: $37.81

0.0× median

90853Group psychotherapySee all providers →

$2K

15K claims

$0.15

$25.02

0.0×

Normal range

90853Normal range

Group psychotherapy

$2K

15K claims · 0.0%

Your Cost: $0.15/claim|Median: $25.02

0.0× median

90832Psychotherapy, 30 minutesSee all providers →

$1K

102K claims

$0.01

$41.28

0.0×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$1K

102K claims · 0.0%

Your Cost: $0.01/claim|Median: $41.28

0.0× median

98968 See all providers →

$161

1,754 claims

$0.09

$28.39

0.0×

Normal range

98968Normal range

$161

1,754 claims · 0.0%

Your Cost: $0.09/claim|Median: $28.39

0.0× median

99212Office/outpatient visit, low complexitySee all providers →

$148

6,657 claims

$0.02

$25.06

0.0×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$148

6,657 claims · 0.0%

Your Cost: $0.02/claim|Median: $25.06

0.0× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$76

3,751 claims

$0.02

$53.41

0.0×

Normal range

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$76

3,751 claims · 0.0%

Your Cost: $0.02/claim|Median: $53.41

0.0× median

1159F See all providers →

1,059 claims

$0.00

$0.01

—

Normal range

1159FNormal range

1,059 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

1,918 claims

$0.00

$108.91

—

Normal range

90792Normal range

Psychiatric diagnostic evaluation with medical services

1,918 claims · 0.0%

Your Cost: $0.00/claim|Median: $108.91

98967 See all providers →

1,570 claims

$0.00

$18.97

—

Normal range

98967Normal range

1,570 claims · 0.0%

Your Cost: $0.00/claim|Median: $18.97

3074F See all providers →

46 claims

$0.00

$0.11

—

Normal range

3074FNormal range

46 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.11

1160F See all providers →

1,059 claims

$0.00

$0.01

—

Normal range

1160FNormal range

1,059 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01

3078F See all providers →

43 claims

$0.00

$0.08

—

Normal range

3078FNormal range

43 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08

90847Family psychotherapy with patient, 50 minSee all providers →

3,942 claims

$0.00

$77.33

—

Normal range

90847Normal range

Family psychotherapy with patient, 50 min

3,942 claims · 0.0%

Your Cost: $0.00/claim|Median: $77.33

3008F See all providers →

43 claims

$0.00

$0.06

—

Normal range

3008FNormal range

43 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06

99443Telephone E/M by physician, 21-30 minSee all providers →

908 claims

$0.00

$32.55

—

Normal range

99443Normal range

Telephone E/M by physician, 21-30 min

908 claims · 0.0%

Your Cost: $0.00/claim|Median: $32.55

90791Psychiatric diagnostic evaluationSee all providers →

2,075 claims

$0.00

$99.21

—

Normal range

90791Normal range

Psychiatric diagnostic evaluation

2,075 claims · 0.0%

Your Cost: $0.00/claim|Median: $99.21

99442Telephone E/M by physician, 11-20 minutesSee all providers →

4,655 claims

$0.00

$22.44

—

Normal range

99442Normal range

Telephone E/M by physician, 11-20 minutes

4,655 claims · 0.0%

Your Cost: $0.00/claim|Median: $22.44

90837Psychotherapy, 60 minutesSee all providers →

4,334 claims

$0.00

$85.66

—

Normal range

90837Normal range

Psychotherapy, 60 minutes

4,334 claims · 0.0%

Your Cost: $0.00/claim|Median: $85.66

90846Family psychotherapy without patient, 50 minSee all providers →

1,434 claims

$0.00

$76.61

—

Normal range

90846Normal range

Family psychotherapy without patient, 50 min

1,434 claims · 0.0%

Your Cost: $0.00/claim|Median: $76.61

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