Agency
Borinquen Health Care Center, INC.
Borinquen Health Care Center, INC. was paid $38K by Medicaid between Jan 2018 and Oct 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoBORINQUEN HEALTH CARE CENTER, INC.
MIAMI, FL 33137
MIAMI, FL 33137
33aNPI1053637249assigned 04/13/2010
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$38K
24GClaims17,352
24DCodes billed20
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Florida
Rank by total paid#533 of 659
Median peer was paid$392K
This provider vs. median0.1×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,102 | $2K | |
| 2019 | 4,479 | $4K | |
| 2020 | 1,942 | $2K | |
| 2021 | 663 | $1K | |
| 2022 | 5,405 | $13K | |
| 2023 | 2,107 | $7K | |
| 2024incomplete | 654 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 43% | 1,197 | 841 | $16K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 33% | 300 | 272 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.8% | 4,731 | 2,829 | $4K |
| 97802 | 5.4% | 19 | 19 | $2K | |
| G0467 | Community health center visit, returning patientFederally 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 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 fqhc visit | 4.0% | 4,194 | 3,072 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 3.7% | 443 | 302 | $1K |
| 99422 | <1% | 28 | 25 | $189.00 | |
| 1159F | 0% | 1,237 | 369 | $0.00 | |
| 1160F | 0% | 1,238 | 370 | $0.00 | |
| 3725F | 0% | 793 | 451 | $0.00 | |
| 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 | 0% | 271 | 221 | $0.00 |
| 3078F | 0% | 130 | 65 | $0.00 |
8 more codes
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.
From NPPES
Who's on the registration
Authorized officialVELEZ, PAUL (CEO / PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Borinquen Health Care Center, INC. | Miami, FL | $4.08M |
| Borinquen Health Care Center, INC. | Miami, FL | $1.72M |
| Borinquen Health Care Center, INC. | Miami, FL | $258K |
| Borinquen Health Care Center, INC. | Miami, FL | $99K |
| Borinquen Health Care Center, INC. | North Miami, FL | $68K |
| Borinquen Health Care Center, INC. | Miami, FL | $33K |
| Borinquen Health Care Center, INC. | North Miami, FL | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.