Agency
Banyan Community Health Center, INC.
Banyan Community Health Center, INC. was paid $3.48M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is H0032, Mental health service plan development by non-physician — 26% of everything it billed.
33Billing provider infoBANYAN COMMUNITY HEALTH CENTER, INC.
CORAL GABLES, FL 33134
CORAL GABLES, FL 33134
33aNPI1922349737assigned 03/05/2013
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$3.48M
24GClaims155,669
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Florida
Rank by total paid#91 of 659
Median peer was paid$392K
This provider vs. median8.9×
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 | 5,772 | $46K | |
| 2019 | 33,162 | $965K | |
| 2020 | 35,548 | $904K | |
| 2021 | 26,201 | $704K | |
| 2022 | 17,215 | $242K | |
| 2023 | 25,015 | $344K | |
| 2024incomplete | 12,756 | $277K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0032 | Mental health service plan development by non-physician | 26% | 23,671 | 19,964 | $897K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 48,171 | 38,602 | $839K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 19% | 23,834 | 4,752 | $664K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 14% | 8,925 | 3,910 | $496K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.7% | 17,624 | 14,115 | $268K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2.8% | 2,131 | 1,242 | $97K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 2,063 | 1,638 | $79K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 2.1% | 7,736 | 6,254 | $75K |
| H0031 | Mental health assessment, by non-physician | 1.0% | 2,497 | 2,204 | $35K |
| 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 | <1% | 12,969 | 9,276 | $16K |
| 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% | 371 | 310 | $9K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 53 | 53 | $2K |
29 more codes
| H0001 | Alcohol and/or drug assessment | <1% | 107 | $2K |
| 91301 | <1% | 49 | $1K | |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | <1% | 50 | $299.06 |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 291 | $263.37 |
| 3074F | <1% | 193 | $225.00 | |
| 0011A | <1% | 31 | $120.00 | |
| 99406 | <1% | 21 | $58.38 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 21 | $20.70 |
| 99441 | <1% | 18 | $16.29 | |
| G0469 | Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new 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 mental health visit | 0% | 16 | $0.00 |
| 4004F | 0% | 42 | $0.00 | |
| 3078F | 0% | 68 | $0.00 | |
| 1160F | 0% | 21 | $0.00 | |
| 3351F | 0% | 721 | $0.00 | |
| 3008F | 0% | 1,532 | $0.00 | |
| 1000F | 0% | 1,358 | $0.00 | |
| 4450F | 0% | 13 | $0.00 | |
| 1036F | 0% | 575 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 52 | $0.00 |
| 3352F | 0% | 60 | $0.00 | |
| 2000F | 0% | 28 | $0.00 | |
| 3079F | 0% | 94 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 148 | $0.00 |
| 96127 | 0% | 23 | $0.00 | |
| 3011F | 0% | 19 | $0.00 | |
| 1130F | 0% | 13 | $0.00 | |
| 2001F | 0% | 28 | $0.00 | |
| 0513F | 0% | 17 | $0.00 | |
| 0012A | 0% | 15 | $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 officialFERNANDEZ, MANUEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Banyan Community Health Center, INC. | Cutler Bay, FL | $3.00M |
| Banyan Community Health Center, INC. | Lauderdale Lakes, FL | $1.15M |
| Banyan Community Health Center, INC. | Coral Gables, FL | $614K |
| Banyan Community Health Center, INC. | Coral Gables, FL | $399K |
| Banyan Community Health Center, INC. | Coral Gables, FL | $239K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.