Brevard Health Alliance INC
Brevard Health Alliance INC was paid $4.35M by Medicaid between Jan 2018 and Dec 2024, across 88 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
ROCKLEDGE, FL 32955
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 | 1,371 | $28K | |
| 2019 | 15,592 | $604K | |
| 2020 | 12,601 | $333K | |
| 2021 | 26,010 | $749K | |
| 2022 | 33,182 | $993K | |
| 2023 | 32,640 | $990K | |
| 2024incomplete | 21,534 | $648K |
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 | 34% | 45,567 | 41,511 | $1.46M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 27% | 13,843 | 11,139 | $1.18M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.7% | 2,904 | 2,853 | $247K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.5% | 2,252 | 2,212 | $198K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.4% | 2,228 | 2,080 | $191K |
| 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 | 4.0% | 4,242 | 3,854 | $175K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.6% | 6,755 | 6,408 | $156K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.7% | 5,013 | 4,744 | $118K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 1,232 | 1,210 | $111K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.9% | 7,701 | 7,221 | $84K |
| 92552 | 1.4% | 5,384 | 5,282 | $61K | |
| D0330 | Panoramic radiographic image | <1% | 767 | 762 | $39K |
76 more codes
| G0467 | Community health center visit, returning patient | <1% | 3,000 | $36K |
| 87428 | <1% | 877 | $31K | |
| D1120 | Dental cleaning, child | <1% | 834 | $27K |
| D0120 | Dental checkup, returning patient | <1% | 1,925 | $23K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,082 | $22K |
| D1351 | Sealant - per tooth | <1% | 1,673 | $21K |
| 90671 | <1% | 279 | $16K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 375 | $16K |
| D0274 | Bitewings - four radiographic images | <1% | 1,122 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 211 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 635 | $10K |
| D0140 | Limited oral evaluation - problem focused | <1% | 919 | $10K |
| D0603 | <1% | 522 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,532 | $7K |
| D0602 | <1% | 481 | $6K | |
| 90461 | <1% | 3,819 | $6K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 65 | $5K |
| D1110 | Prophylaxis - adult | <1% | 94 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 577 | $4K |
| D1310 | <1% | 793 | $4K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 57 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 104 | $4K |
| D1330 | <1% | 1,246 | $3K | |
| 96127 | <1% | 396 | $3K | |
| 90670 | <1% | 639 | $3K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,607 | $2K |
| D0601 | <1% | 143 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 957 | $2K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 55 | $2K |
| 99406 | <1% | 400 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 16 | $2K |
| 85018 | <1% | 2,022 | $2K | |
| 99384 | <1% | 14 | $1K | |
| 92551 | <1% | 169 | $1K | |
| 99383 | <1% | 12 | $1K | |
| 99381 | <1% | 13 | $1K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 35 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 423 | $1K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 19 | $911.52 |
| 87807 | <1% | 223 | $850.87 | |
| 3074F | <1% | 751 | $650.00 | |
| D1354 | <1% | 88 | $572.64 | |
| 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 | <1% | 43 | $565.29 |
| 90686 | <1% | 1,626 | $375.02 | |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 15 | $300.00 |
| 82962 | <1% | 503 | $272.53 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 77 | $262.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 27 | $252.00 |
| 90651 | <1% | 138 | $198.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,281 | $148.35 |
| 99177 | <1% | 5,032 | $134.64 | |
| 0012A | <1% | 13 | $130.60 | |
| 81025 | <1% | 41 | $84.48 | |
| 93000 | <1% | 15 | $84.39 | |
| 81002 | <1% | 66 | $68.60 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 352 | $62.13 |
| 95251 | <1% | 26 | $54.47 | |
| 99173 | <1% | 479 | $29.38 | |
| 3075F | <1% | 14 | $25.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 57 | $12.00 |
| 90647 | <1% | 235 | $10.00 | |
| 90723 | 0% | 461 | $0.00 | |
| 3079F | 0% | 194 | $0.00 | |
| D3120 | 0% | 16 | $0.00 | |
| D1320 | 0% | 58 | $0.00 | |
| 90656 | 0% | 58 | $0.00 | |
| 94760 | 0% | 21 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 18 | $0.00 |
| 90648 | 0% | 264 | $0.00 | |
| 3078F | 0% | 295 | $0.00 | |
| 3077F | 0% | 12 | $0.00 | |
| 90681 | 0% | 26 | $0.00 | |
| 90633 | 0% | 235 | $0.00 | |
| 90734 | 0% | 114 | $0.00 | |
| 99497 | 0% | 14 | $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 | Melbourne, FL | $7.21M |
| 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.