Clinic
Borinquen Health Care Center, INC.
Borinquen Health Care Center, INC. was paid $4.08M by Medicaid between Jan 2018 and Dec 2024, across 112 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoBORINQUEN HEALTH CARE CENTER, INC.
MIAMI, FL 33137
MIAMI, FL 33137
33aNPI1407913338assigned 01/02/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.08M
24GClaims707,594
24DCodes billed112
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Florida
Rank by total paid#15 of 293
Median peer was paid$114K
This provider vs. median36×
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 | 562 | $29K | |
| 2019 | 245 | $31K | |
| 2020 | 668 | $52K | |
| 2021 | 128,835 | $1.07M | |
| 2022 | 285,079 | $793K | |
| 2023 | 195,067 | $1.36M | |
| 2024incomplete | 97,138 | $748K |
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 | 31% | 55,205 | 40,436 | $1.28M |
| H1000 | Prenatal care, at-risk assessment | 14% | 7,847 | 4,554 | $564K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.9% | 7,430 | 5,707 | $364K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.0% | 6,017 | 4,526 | $285K |
| 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 | 6.8% | 9,014 | 6,710 | $276K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.3% | 5,174 | 3,765 | $257K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 6.2% | 10,029 | 5,269 | $252K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.9% | 12,179 | 9,120 | $242K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.7% | 3,366 | 2,479 | $153K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 3.3% | 3,226 | 1,706 | $133K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.6% | 27,440 | 21,323 | $65K |
| 99441 | <1% | 2,985 | 2,317 | $19K |
100 more codes
| 97802 | <1% | 191 | $17K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 2,647 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 941 | $14K |
| 98940 | <1% | 1,323 | $13K | |
| D1110 | Prophylaxis - adult | <1% | 565 | $13K |
| D0330 | Panoramic radiographic image | <1% | 309 | $12K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 958 | $11K |
| 3074F | <1% | 57,734 | $9K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 215 | $8K |
| D1120 | Dental cleaning, child | <1% | 335 | $7K |
| D0274 | Bitewings - four radiographic images | <1% | 1,080 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,643 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 218 | $6K |
| 90461 | <1% | 10,279 | $6K | |
| 99442 | <1% | 477 | $6K | |
| 99385 | <1% | 82 | $5K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 264 | $5K |
| 0002A | <1% | 99 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 7,079 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 46 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 27 | $2K |
| 0001A | <1% | 83 | $2K | |
| 90837 | Psychotherapy session, about an hour | <1% | 20 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 371 | $2K |
| 0071A | <1% | 64 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 50 | $2K |
| 96127 | <1% | 18,940 | $2K | |
| 90686 | <1% | 13,327 | $2K | |
| D1330 | <1% | 1,561 | $1K | |
| 0072A | <1% | 43 | $1K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 33 | $1K |
| D4341 | <1% | 54 | $989.62 | |
| 86580 | <1% | 977 | $715.97 | |
| 99422 | <1% | 80 | $658.73 | |
| 1126F | <1% | 36,485 | $595.71 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 76 | $585.56 |
| D0120 | Dental checkup, returning patient | <1% | 153 | $554.18 |
| T1017 | Case management, billed per 15 minutes | <1% | 16 | $540.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 328 | $506.26 |
| 90474 | <1% | 615 | $496.00 | |
| 90633 | <1% | 2,159 | $492.20 | |
| 0011A | <1% | 13 | $440.00 | |
| 0012A | <1% | 24 | $417.60 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 178 | $379.13 |
| 90480 | <1% | 33 | $320.00 | |
| 90651 | <1% | 1,671 | $315.01 | |
| 98968 | <1% | 45 | $304.27 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 267 | $300.54 |
| 3075F | <1% | 1,151 | $300.00 | |
| 92551 | <1% | 13,141 | $290.20 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 97 | $274.00 |
| 90671 | <1% | 791 | $264.97 | |
| 96161 | <1% | 1,771 | $218.82 | |
| 91300 | <1% | 41 | $163.20 | |
| 90681 | <1% | 493 | $125.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 47 | $112.04 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | <1% | 402 | $96.11 |
| 3078F | <1% | 55,218 | $91.76 | |
| 81025 | <1% | 51 | $90.78 | |
| 82962 | <1% | 228 | $50.54 | |
| 87807 | <1% | 12 | $47.74 | |
| 1160F | <1% | 78,321 | $39.15 | |
| G0467 | Community health center visit, returning patient | <1% | 592 | $34.00 |
| 1036F | <1% | 34,684 | $26.05 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 87 | $24.00 |
| 97010 | <1% | 40 | $16.00 | |
| 90648 | <1% | 2,850 | $10.00 | |
| 90734 | <1% | 398 | $10.00 | |
| 90723 | <1% | 2,571 | $7.20 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 148 | $4.00 |
| 81003 | <1% | 41 | $2.02 | |
| 99177 | <1% | 12,072 | $0.80 | |
| 1159F | 0% | 64,566 | $0.00 | |
| 3725F | 0% | 27,348 | $0.00 | |
| 1100F | 0% | 431 | $0.00 | |
| 90710 | 0% | 703 | $0.00 | |
| 3077F | 0% | 891 | $0.00 | |
| 3288F | 0% | 255 | $0.00 | |
| 90670 | 0% | 3,831 | $0.00 | |
| 1158F | 0% | 4,006 | $0.00 | |
| 90715 | 0% | 116 | $0.00 | |
| 4001F | 0% | 105 | $0.00 | |
| 90700 | 0% | 27 | $0.00 | |
| 90707 | 0% | 15 | $0.00 | |
| 90661 | 0% | 15 | $0.00 | |
| 1170F | 0% | 4,294 | $0.00 | |
| 3008F | 0% | 72,115 | $0.00 | |
| 3079F | 0% | 3,319 | $0.00 | |
| 3044F | 0% | 555 | $0.00 | |
| 3080F | 0% | 558 | $0.00 | |
| 1125F | 0% | 684 | $0.00 | |
| 1111F | 0% | 1,957 | $0.00 | |
| 90696 | 0% | 25 | $0.00 | |
| 1157F | 0% | 28 | $0.00 | |
| 3014F | 0% | 98 | $0.00 | |
| 90716 | 0% | 16 | $0.00 | |
| 90620 | 0% | 228 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 45 | $0.00 |
| 99024 | 0% | 12 | $0.00 | |
| 1034F | 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.
From NPPES
Who's on the registration
Authorized officialVELEZ, PAUL (CEO / PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| 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 | $38K |
| 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.