Apel, Peter

Apel, Peter was paid $1K by Medicaid between Mar 2018 and Oct 2018, across 2 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 60% of everything it billed.

33Billing provider infoAPEL, PETER
ROANOKE, VA 24014

33aNPI1013178052assigned 06/23/2008

33bProvider typeOrthopaedic Surgery Physician

28Total paid$1K

24GClaims24

24DCodes billed2

24AFirst – last monthMar 2018 – Oct 2018

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Virginia

Rank by total paid#63 of 79

Median peer was paid$6K

This provider vs. median0.2×

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	24	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	60%	12	12	$860.56
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	40%	12	12	$581.30

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.