Clinic
Cnfalcon, INC
Cnfalcon, INC was paid $5.87M by Medicaid between Sep 2021 and Nov 2024, across 8 billing codes. Its largest line is H2017, psychosocial rehabilitation, billed per 15 minutes — 81% of everything it billed.
33Billing provider infoCNFALCON, INC
MIAMI, FL 33157
MIAMI, FL 33157
33aNPI1568041713assigned 04/05/2021
33bProvider typeCommunity Health Clinic/Center
28Total paid$5.87M
24GClaims55,110
24DCodes billed8
24AFirst – last monthSep 2021 – Nov 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Florida
Rank by total paid#4 of 54
Median peer was paid$243K
This provider vs. median24×
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 | |
|---|---|---|---|
| 2021 | 81 | $1K | |
| 2023 | 25,184 | $2.45M | |
| 2024incomplete | 29,845 | $3.41M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 81% | 37,538 | 2,890 | $4.77M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 14% | 13,012 | 1,360 | $815K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 3.7% | 3,021 | 857 | $217K |
| H0032 | Mental health service plan development by non-physician | <1% | 480 | 466 | $28K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 227 | 57 | $18K |
| H0031 | Mental health assessment, by non-physician | <1% | 805 | 395 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 14 | 14 | $841.14 |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | <1% | 13 | 12 | $788.28 |
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 officialNUNEZ, CARLOS (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Guadalupana CG INC. | Miami, FL | $852K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.