Clinic
Borinquen Health Care Center, INC.
Borinquen Health Care Center, INC. was paid $258K by Medicaid between Dec 2018 and Jul 2023, across 41 billing codes. Its largest line is H1000, Prenatal care, at-risk assessment — 56% of everything it billed.
33Billing provider infoBORINQUEN HEALTH CARE CENTER, INC.
MIAMI, FL 33174
MIAMI, FL 33174
33aNPI1710124482assigned 01/16/2009
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$258K
24GClaims34,630
24DCodes billed41
24AFirst – last monthDec 2018 – Jul 2023
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Florida
Rank by total paid#111 of 293
Median peer was paid$114K
This provider vs. median2.3×
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 | 164 | $787.95 | |
| 2019 | 88 | $7K | |
| 2020 | 32 | $4K | |
| 2021 | 335 | $43K | |
| 2022 | 28,201 | $153K | |
| 2023 | 5,810 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H1000 | Prenatal care, at-risk assessment | 56% | 2,336 | 908 | $144K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 3,463 | 2,129 | $66K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 493 | 264 | $14K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.4% | 439 | 282 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 217 | 116 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.6% | 508 | 273 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 166 | 90 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,779 | 1,189 | $2K |
| 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% | 53 | 36 | $1K |
| 99188 | <1% | 146 | 115 | $311.74 | |
| 99442 | <1% | 38 | 25 | $266.17 | |
| 99441 | <1% | 72 | 55 | $248.83 |
29 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 245 | $125.00 |
| 96127 | <1% | 716 | $104.20 | |
| 90651 | <1% | 77 | $88.76 | |
| 90461 | <1% | 838 | $79.15 | |
| 3074F | <1% | 2,444 | $50.00 | |
| 90686 | <1% | 681 | $35.94 | |
| 90474 | <1% | 39 | $30.00 | |
| 92551 | <1% | 858 | $14.59 | |
| 1159F | 0% | 3,667 | $0.00 | |
| 90633 | 0% | 199 | $0.00 | |
| 90670 | 0% | 236 | $0.00 | |
| 3078F | 0% | 2,562 | $0.00 | |
| 3725F | 0% | 1,060 | $0.00 | |
| 1158F | 0% | 151 | $0.00 | |
| 90648 | 0% | 173 | $0.00 | |
| 99177 | 0% | 657 | $0.00 | |
| 1160F | 0% | 3,602 | $0.00 | |
| 90681 | 0% | 13 | $0.00 | |
| 90710 | 0% | 26 | $0.00 | |
| 1126F | 0% | 1,179 | $0.00 | |
| 3008F | 0% | 3,540 | $0.00 | |
| 96161 | 0% | 265 | $0.00 | |
| 90723 | 0% | 165 | $0.00 | |
| 1036F | 0% | 1,044 | $0.00 | |
| 1170F | 0% | 417 | $0.00 | |
| 3079F | 0% | 16 | $0.00 | |
| 3044F | 0% | 13 | $0.00 | |
| 90620 | 0% | 12 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 25 | $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 | $4.08M |
| Borinquen Health Care Center, INC. | Miami, FL | $1.72M |
| 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.