Agency
Banyan Community Health Center, INC.
Banyan Community Health Center, INC. was paid $3.00M by Medicaid between Dec 2018 and Dec 2024, across 26 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 69% of everything it billed.
33Billing provider infoBANYAN COMMUNITY HEALTH CENTER, INC.
CUTLER BAY, FL 33189
CUTLER BAY, FL 33189
33aNPI1205219003assigned 06/30/2015
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$3.00M
24GClaims63,258
24DCodes billed26
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Florida
Rank by total paid#108 of 659
Median peer was paid$392K
This provider vs. median7.6×
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 | 799 | $40K | |
| 2019 | 16,170 | $849K | |
| 2020 | 15,537 | $821K | |
| 2021 | 9,911 | $536K | |
| 2022 | 7,100 | $261K | |
| 2023 | 7,934 | $267K | |
| 2024incomplete | 5,807 | $222K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 69% | 36,123 | 13,265 | $2.08M |
| H0032 | Mental health service plan development by non-physician | 8.1% | 5,154 | 4,637 | $242K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.6% | 7,892 | 7,038 | $228K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 3.6% | 2,034 | 1,867 | $107K |
| H0031 | Mental health assessment, by non-physician | 2.9% | 5,312 | 4,504 | $88K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2.7% | 996 | 701 | $81K |
| H2000 | Comprehensive multidisciplinary evaluation | 1.6% | 275 | 265 | $49K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 698 | 621 | $36K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 1,586 | 1,336 | $35K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 1.1% | 1,168 | 313 | $34K |
| 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 | <1% | 368 | 326 | $16K |
| 3074F | <1% | 121 | 107 | $175.00 |
14 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 47 | $49.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 13 | $0.11 |
| 3078F | 0% | 79 | $0.00 | |
| 3015F | 0% | 64 | $0.00 | |
| 1160F | 0% | 24 | $0.00 | |
| 1036F | 0% | 396 | $0.00 | |
| 3008F | 0% | 474 | $0.00 | |
| 0513F | 0% | 75 | $0.00 | |
| 2001F | 0% | 21 | $0.00 | |
| 3351F | 0% | 273 | $0.00 | |
| 4450F | 0% | 12 | $0.00 | |
| 3352F | 0% | 22 | $0.00 | |
| 2000F | 0% | 16 | $0.00 | |
| 96127 | 0% | 15 | $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. | Lauderdale Lakes, FL | $1.15M |
| Banyan Community Health Center, INC. | Coral Gables, FL | $614K |
| Banyan Community Health Center, INC. | Coral Gables, FL | $399K |
| 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.