Brevard Health Alliance INC
Brevard Health Alliance INC was paid $7.21M by Medicaid between Jan 2018 and Dec 2024, across 106 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
MELBOURNE, FL 32935
Next to other Federally Qualified Health Center (FQHC) providers in Florida
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,559 | $33K | |
| 2019 | 18,687 | $791K | |
| 2020 | 20,930 | $667K | |
| 2021 | 40,847 | $1.33M | |
| 2022 | 54,488 | $1.53M | |
| 2023 | 56,951 | $1.49M | |
| 2024incomplete | 51,434 | $1.37M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 62,273 | 57,167 | $1.97M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 25% | 21,187 | 16,508 | $1.83M |
| H1000 | Prenatal care, at-risk assessment | 8.5% | 12,685 | 10,147 | $613K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6.4% | 10,789 | 9,827 | $459K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.1% | 4,598 | 4,290 | $367K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 3,936 | 3,847 | $321K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 2,029 | 1,996 | $167K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.6% | 4,960 | 4,765 | $117K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.4% | 3,201 | 3,200 | $101K |
| 87428 | 1.4% | 2,911 | 2,841 | $99K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 1.2% | 891 | 869 | $90K |
| D0330 | Panoramic radiographic image | 1.1% | 1,628 | 1,625 | $78K |
94 more codes
| 92552 | 1.1% | 6,407 | $77K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 899 | $76K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 5,712 | $71K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,153 | $67K |
| D0120 | Dental checkup, returning patient | <1% | 4,174 | $66K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 824 | $57K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 1,656 | $43K |
| 59430 | <1% | 1,005 | $40K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,008 | $37K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 7,270 | $37K |
| G0467 | Community health center visit, returning patient | <1% | 3,023 | $36K |
| D0274 | Bitewings - four radiographic images | <1% | 2,081 | $30K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,664 | $29K |
| D1110 | Prophylaxis - adult | <1% | 915 | $27K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,274 | $24K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 606 | $24K |
| 90671 | <1% | 410 | $21K | |
| D1206 | Topical application of fluoride varnish | <1% | 5,680 | $19K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,426 | $13K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,030 | $12K |
| D1351 | Sealant - per tooth | <1% | 1,160 | $11K |
| D1330 | <1% | 4,851 | $11K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,330 | $11K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 337 | $11K |
| D0191 | <1% | 665 | $10K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 137 | $10K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 166 | $9K |
| D0601 | <1% | 763 | $9K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 189 | $8K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 316 | $8K |
| 90461 | <1% | 3,226 | $8K | |
| D1310 | <1% | 2,853 | $8K | |
| 99381 | <1% | 82 | $7K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 196 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 673 | $6K |
| 81025 | <1% | 4,063 | $6K | |
| D0272 | Bitewings - two radiographic images | <1% | 2,513 | $6K |
| D0603 | <1% | 351 | $6K | |
| G0470 | Federally 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 practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 241 | $3K |
| D0602 | <1% | 239 | $3K | |
| 90670 | <1% | 1,593 | $3K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 51 | $3K |
| 87807 | <1% | 597 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 41 | $2K |
| 85018 | <1% | 3,409 | $2K | |
| 99383 | <1% | 26 | $2K | |
| 76801 | <1% | 42 | $2K | |
| 93000 | <1% | 241 | $2K | |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 59 | $1K |
| 99384 | <1% | 13 | $1K | |
| 90715 | <1% | 195 | $961.59 | |
| 99406 | <1% | 305 | $850.88 | |
| 99385 | <1% | 12 | $806.69 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,128 | $568.24 |
| 59025 | Fetal non-stress test | <1% | 68 | $520.65 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,163 | $458.06 |
| 0012A | <1% | 57 | $444.04 | |
| 90686 | <1% | 996 | $431.39 | |
| 0011A | <1% | 68 | $409.09 | |
| 99177 | <1% | 9,464 | $384.16 | |
| 87081 | <1% | 299 | $378.31 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 14 | $373.00 |
| 58300 | <1% | 13 | $303.94 | |
| 94760 | <1% | 2,625 | $242.44 | |
| 81002 | <1% | 361 | $218.91 | |
| D3120 | <1% | 135 | $208.42 | |
| D1320 | <1% | 1,050 | $179.10 | |
| 90651 | <1% | 108 | $132.51 | |
| 92551 | <1% | 275 | $126.19 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 53 | $113.96 |
| 90633 | <1% | 417 | $106.76 | |
| 90723 | <1% | 1,221 | $95.47 | |
| D0270 | <1% | 248 | $88.97 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $68.81 |
| 90648 | <1% | 1,160 | $54.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 223 | $27.50 |
| 0503F | 0% | 448 | $0.00 | |
| 90647 | 0% | 356 | $0.00 | |
| 90677 | 0% | 27 | $0.00 | |
| 90656 | 0% | 66 | $0.00 | |
| 3074F | 0% | 177 | $0.00 | |
| 3079F | 0% | 30 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 91301 | 0% | 62 | $0.00 | |
| 3044F | 0% | 16 | $0.00 | |
| 96127 | 0% | 14 | $0.00 | |
| D9910 | 0% | 259 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 3725F | 0% | 503 | $0.00 | |
| 90681 | 0% | 249 | $0.00 | |
| 80061 | Lipid panel | 0% | 13 | $0.00 |
| 90710 | 0% | 26 | $0.00 | |
| 3078F | 0% | 139 | $0.00 | |
| 90734 | 0% | 85 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Brevard Health Alliance INC | Rockledge, FL | $4.35M |
| Brevard Health Alliance INC | Palm Bay, FL | $4.30M |
| Brevard Health Alliance INC | Malabar, FL | $3.22M |
| Brevard Health Alliance INC | Titusville, FL | $1.55M |
| Brevard Health Alliance INC | Palm Bay, FL | $1.40M |
| Brevard Health Alliance INC | Cocoa, FL | $1.14M |
| Brevard Health Alliance INC | Melbourne, FL | $292K |
| Brevard Health Alliance INC | Melbourne, FL | $193K |
| Brevard Health Alliance INC | Palm Bay, FL | $128K |
| Brevard Health Alliance INC | Melbourne, FL | $92K |
| Brevard Health Alliance INC | Rockledge, FL | $86K |
| Brevard Health Alliance INC | Melbourne, FL | $43K |
| Brevard Health Alliance INC | Cocoa, FL | $27K |
| Brevard Health Alliance INC | Titusville, FL | $3K |
| Brevard Health Alliance INC | Melbourne, FL | $446.63 |
| The Brevard Health Alliance INC | Cocoa, FL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.