Physician
Apaga, Elmer
Apaga, Elmer was paid $210K by Medicaid between Nov 2020 and Dec 2024, across 9 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 44% of everything it billed.
33Billing provider infoAPAGA, ELMER
TURTLE CREEK, PA 15145
TURTLE CREEK, PA 15145
33aNPI1003056524assigned 02/23/2009
33bProvider typeInternal Medicine Physician
28Total paid$210K
24GClaims4,926
24DCodes billed9
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#118 of 1,726
Median peer was paid$6K
This provider vs. median32×
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 | |
|---|---|---|---|
| 2020 | 262 | $4K | |
| 2021 | 1,412 | $46K | |
| 2022 | 1,374 | $69K | |
| 2023 | 1,166 | $57K | |
| 2024incomplete | 712 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 44% | 2,776 | 669 | $93K |
| 99223 | Prolong inpt eval add15 m | 28% | 623 | 582 | $58K |
| 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 | 17% | 784 | 752 | $35K |
| 99239 | Hospital discharge day management, more than 30 minutes | 10% | 415 | 385 | $21K |
| 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% | 42 | 41 | $1K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 24 | 15 | $710.96 |
| 3074F | 0% | 166 | 158 | $0.00 | |
| 3008F | 0% | 15 | 15 | $0.00 | |
| 3078F | 0% | 81 | 78 | $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.