Agency
Banyan Community Health Center, INC.
Banyan Community Health Center, INC. was paid $399K by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoBANYAN COMMUNITY HEALTH CENTER, INC.
CORAL GABLES, FL 33134
CORAL GABLES, FL 33134
33aNPI1104247188assigned 12/18/2013
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$399K
24GClaims41,352
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Florida
Rank by total paid#328 of 659
Median peer was paid$392K
This provider vs. median1.0×
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 | 274 | $687.22 | |
| 2019 | 7,728 | $40K | |
| 2020 | 7,084 | $41K | |
| 2021 | 4,849 | $40K | |
| 2022 | 8,729 | $71K | |
| 2023 | 6,603 | $128K | |
| 2024incomplete | 6,085 | $79K |
Box 24 · Service lines
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 | 42% | 7,718 | 5,417 | $168K |
| 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 | 37% | 3,373 | 2,876 | $149K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 5.6% | 882 | 457 | $22K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 5.3% | 429 | 189 | $21K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2.7% | 145 | 117 | $11K |
| H2000 | Comprehensive multidisciplinary evaluation | 1.2% | 38 | 26 | $5K |
| H0032 | Mental health service plan development by non-physician | <1% | 68 | 50 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 34 | 24 | $3K |
| 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 | <1% | 336 | 254 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 14 | 14 | $2K |
| 99385 | <1% | 26 | 25 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 87 | 73 | $2K |
54 more codes
| H0031 | Mental health assessment, by non-physician | <1% | 87 | $1K |
| 91301 | <1% | 120 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $1K |
| H0001 | Alcohol and/or drug assessment | <1% | 91 | $961.76 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 123 | $865.50 |
| 0011A | <1% | 56 | $822.13 | |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | <1% | 140 | $675.77 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $632.79 |
| H1000 | Prenatal care, at-risk assessment | <1% | 17 | $631.96 |
| 3074F | <1% | 1,753 | $604.55 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 201 | $525.07 |
| 0013A | <1% | 13 | $480.00 | |
| 0031A | <1% | 12 | $280.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 134 | $240.21 |
| 0012A | <1% | 28 | $216.78 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 34 | $152.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 179 | $70.00 |
| 3075F | <1% | 170 | $50.00 | |
| 3078F | <1% | 1,177 | $27.28 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 19 | $0.19 |
| 3008F | <1% | 7,289 | $0.05 | |
| 1000F | <1% | 5,609 | $0.01 | |
| 1160F | 0% | 149 | $0.00 | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 0% | 13 | $0.00 |
| 4004F | 0% | 432 | $0.00 | |
| 3293F | 0% | 26 | $0.00 | |
| 3511F | 0% | 70 | $0.00 | |
| 3725F | 0% | 44 | $0.00 | |
| 4019F | 0% | 33 | $0.00 | |
| 3077F | 0% | 67 | $0.00 | |
| 4185F | 0% | 15 | $0.00 | |
| 3351F | 0% | 5,120 | $0.00 | |
| 3266F | 0% | 35 | $0.00 | |
| 1036F | 0% | 2,249 | $0.00 | |
| 3079F | 0% | 519 | $0.00 | |
| 0513F | 0% | 700 | $0.00 | |
| 3044F | 0% | 64 | $0.00 | |
| 96127 | 0% | 129 | $0.00 | |
| 4010F | 0% | 102 | $0.00 | |
| 3352F | 0% | 259 | $0.00 | |
| 2001F | 0% | 139 | $0.00 | |
| 4293F | 0% | 75 | $0.00 | |
| 1034F | 0% | 274 | $0.00 | |
| 4450F | 0% | 109 | $0.00 | |
| 2000F | 0% | 81 | $0.00 | |
| 3080F | 0% | 51 | $0.00 | |
| 3512F | 0% | 14 | $0.00 | |
| 1031F | 0% | 14 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | $0.00 |
| 3292F | 0% | 35 | $0.00 | |
| 3353F | 0% | 21 | $0.00 | |
| 3011F | 0% | 40 | $0.00 | |
| 3265F | 0% | 17 | $0.00 | |
| 1130F | 0% | 12 | $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.
From NPPES
Who's on the registration
Authorized officialFERNANDEZ, MANUEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Banyan Community Health Center, INC. | Coral Gables, FL | $3.48M |
| Banyan Community Health Center, INC. | Cutler Bay, FL | $3.00M |
| Banyan Community Health Center, INC. | Lauderdale Lakes, FL | $1.15M |
| Banyan Community Health Center, INC. | Coral Gables, FL | $614K |
| Banyan Community Health Center, INC. | Coral Gables, FL | $239K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.