Physician
Apex Healthcare Medical Center INC
Apex Healthcare Medical Center INC was paid $344K by Medicaid between Jan 2018 and Mar 2023, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoAPEX HEALTHCARE MEDICAL CENTER INC
HEMET, CA 92543
HEMET, CA 92543
33aNPI1053680181assigned 12/19/2011
33bProvider typeObstetrics & Gynecology Physician
28Total paid$344K
24GClaims7,113
24DCodes billed22
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in California
Rank by total paid#215 of 791
Median peer was paid$67K
This provider vs. median5.1×
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 | 2,306 | $116K | |
| 2019 | 885 | $47K | |
| 2020 | 798 | $39K | |
| 2021 | 1,214 | $61K | |
| 2022 | 1,753 | $77K | |
| 2023 | 157 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 29% | 1,975 | 1,848 | $100K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 26% | 1,124 | 1,033 | $91K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 1,781 | 1,586 | $54K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 12% | 511 | 505 | $41K |
| 99205 | Prolong outpt/office vis | 4.7% | 125 | 125 | $16K |
| 51701 | 3.6% | 155 | 152 | $12K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.9% | 154 | 153 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 142 | 138 | $4K |
| 99442 | <1% | 44 | 41 | $3K | |
| 88141 | <1% | 39 | 18 | $2K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 50 | 50 | $2K |
| 99441 | <1% | 48 | 47 | $2K |
10 more codes
| 59425 | <1% | 46 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 81 | $1K |
| 20610 | <1% | 28 | $1K | |
| 88174 | <1% | 42 | $903.68 | |
| 81025 | <1% | 178 | $803.05 | |
| 81002 | <1% | 389 | $728.70 | |
| 99000 | <1% | 79 | $219.67 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 13 | $162.45 |
| 81003 | <1% | 96 | $159.95 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 13 | $0.10 |
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 officialZARAGOZA, SANDRA (DIRECTOR OF CLINIC OPERATIONS)
| Provider | Location | Paid |
|---|---|---|
| Seven Star Medical Group INC. | Hemet, CA | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.