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

Circles of Care, INC.

Circles of Care, INC. was paid $11.79M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is H2017, psychosocial rehabilitation, billed per 15 minutes — 61% of everything it billed.

33Billing provider infoCIRCLES OF CARE, INC.
MELBOURNE, FL 32901
33aNPI1679541031assigned 03/10/2006
28Total paid$11.79M
24GClaims258,618
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in Florida

Rank by total paid#10 of 659
Median peer was paid$392K
This provider vs. median30×

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$100K$200K$300K2018201920202021202220232024
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
20189,355$430K
201940,952$2.79M
202038,192$2.55M
202140,976$2.68M
202265,694$821K
202342,328$1.35M
2024incomplete21,121$1.17M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2017 Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes 61% 85,832 5,257 $7.19M
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 13% 69,373 39,888 $1.55M
H2019 Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes 12% 31,933 14,590 $1.45M
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 3.5% 10,641 3,394 $416K
H0032 Mental health service plan development by non-physician 3.3% 8,783 6,612 $391K
99223 Prolong inpt eval add15 m 1.7% 1,051 957 $198K
99239 Hospital discharge day management, more than 30 minutes 1.1% 3,728 3,127 $134K
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% 12,526 8,992 $59K
99221 <1% 1,248 1,022 $58K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient <1% 8,484 3,860 $53K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 3,652 1,466 $48K
H0038 Self-help/peer services, per 15 minutes <1% 5,468 875 $42K
21 more codes
99222 Initial hospital care, per day, moderate complexity <1% 686 $41K
H0031 Mental health assessment, by non-physician <1% 1,400 $32K
H2010 Comprehensive medication services, per 15 minutes <1% 1,724 $30K
H2000 Comprehensive multidisciplinary evaluation <1% 227 $22K
99232 Hospital visit by a doctor, follow-up day <1% 1,818 $17K
H2015 Community support for mental illness or disability, per 15 minutes <1% 1,323 $16K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification <1% 1,268 $15K
99238 Hospital discharge day management, 30 minutes or less <1% 467 $11K
99214 Doctor's office visit, returning patient (more involved) <1% 2,035 $7K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter <1% 147 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,846 $3K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 69 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 675 $1K
90853 Group psychotherapy (other than of a multiple-family group) <1% 727 $1K
H0001 Alcohol and/or drug assessment <1% 13 $633.60
99307 <1% 170 $1.85
90834 Psychotherapy session, about 45 minutes 0% 200 $0.00
90688 0% 19 $0.00
99305 0% 47 $0.00
99308 Subsequent nursing facility care, per day, straightforward 0% 17 $0.00
G0008 Administration of influenza virus vaccine 0% 21 $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 officialDEROSA, FALLON (VICE PRESIDENT HUMAN RELATIONS)
Same official

Other billing entities under DEROSA, FALLON

Full network →
ProviderLocationPaid
Circles of Care, INC.West Melbourne, FL$566K
Circles of Care, INC.West Melbourne, FL$363K
Circles of Care, INC.Rockledge, FL$174K
Circles of Care, INC.West Melbourne, FL$41K
Circles of Care, INC.Melbourne, FL$29K
Circles of Care, INC.Titusville, FL$2K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.