Agency
Borinquen Health Care Center, INC.
Borinquen Health Care Center, INC. was paid $99K by Medicaid between Apr 2019 and Jul 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoBORINQUEN HEALTH CARE CENTER, INC.
MIAMI, FL 33126
MIAMI, FL 33126
33aNPI1801210299assigned 02/06/2014
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$99K
24GClaims36,052
24DCodes billed34
24AFirst – last monthApr 2019 – Jul 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Florida
Rank by total paid#461 of 659
Median peer was paid$392K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2019 | 60 | $0.00 | |
| 2020 | 1,971 | $3K | |
| 2021 | 1,885 | $3K | |
| 2022 | 20,420 | $42K | |
| 2023 | 11,474 | $51K | |
| 2024incomplete | 242 | $25.43 |
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 | 50% | 3,948 | 2,877 | $50K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 14% | 774 | 533 | $13K |
| 99385 | 13% | 137 | 129 | $13K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 3.6% | 1,322 | 861 | $4K |
| 99386 | 3.2% | 32 | 28 | $3K | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 3.1% | 2,415 | 1,618 | $3K |
| H1000 | Prenatal care, at-risk assessment | 2.2% | 21 | 19 | $2K |
| 90746 | 2.1% | 85 | 83 | $2K | |
| 90632 | 2.1% | 30 | 30 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 399 | 381 | $2K |
| 90707 | 1.1% | 78 | 72 | $1K | |
| 90715 | <1% | 108 | 100 | $955.13 |
22 more codes
| 90716 | <1% | 15 | $928.19 | |
| 0052A | <1% | 19 | $376.00 | |
| 0051A | <1% | 13 | $348.39 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 317 | $242.00 |
| 90686 | <1% | 92 | $225.97 | |
| 96127 | <1% | 3,954 | $203.98 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 229 | $192.20 |
| 3074F | <1% | 2,040 | $150.00 | |
| 82962 | <1% | 207 | $39.19 | |
| 1159F | 0% | 3,125 | $0.00 | |
| 3078F | 0% | 1,874 | $0.00 | |
| 3725F | 0% | 1,954 | $0.00 | |
| 1158F | 0% | 1,566 | $0.00 | |
| 1160F | 0% | 3,121 | $0.00 | |
| 1036F | 0% | 1,884 | $0.00 | |
| 1170F | 0% | 1,566 | $0.00 | |
| 3044F | 0% | 200 | $0.00 | |
| 3079F | 0% | 392 | $0.00 | |
| 3008F | 0% | 1,586 | $0.00 | |
| 3075F | 0% | 135 | $0.00 | |
| 1126F | 0% | 2,357 | $0.00 | |
| 90744 | 0% | 57 | $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)
| 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 | $258K |
| 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.