Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Avila Health Group LLC

Avila Health Group LLC was paid $1.31M by Medicaid between Mar 2021 and Dec 2024, across 7 billing codes. Its largest line is H2017, psychosocial rehabilitation, billed per 15 minutes — 73% of everything it billed.

33Billing provider infoAVILA HEALTH GROUP LLC
DORAL, FL 33178
33aNPI1518565498assigned 10/13/2020
33bProvider typeCase Management Agency
28Total paid$1.31M
24GClaims11,567
24DCodes billed7
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers

Next to other Case Management Agency providers in Florida

Rank by total paid#157 of 357
Median peer was paid$839K
This provider vs. median1.6×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20211,201$143K
20233,351$438K
2024incomplete7,015$731K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2017 Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes 73% 7,310 702 $963K
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 24% 3,657 460 $310K
H2019 Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes 2.1% 354 181 $27K
H0031 Mental health assessment, by non-physician <1% 139 87 $4K
H0032 Mental health service plan development by non-physician <1% 38 38 $3K
H2000 Comprehensive multidisciplinary evaluation <1% 14 12 $2K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive <1% 55 54 $2K

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 officialAVILA, YANET (OWNER)