Clinic
Apex Cardiology PC
Apex Cardiology PC was paid $53K by Medicaid between Jan 2018 and Jul 2019, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.
33Billing provider infoAPEX CARDIOLOGY PC
HENDERSON, TN 38340
HENDERSON, TN 38340
33aNPI1073906616assigned 03/06/2015
33bProvider typeRural Health Clinic/Center
28Total paid$53K
24GClaims1,939
24DCodes billed12
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Rural Health Clinic/Center providers in Tennessee
Rank by total paid#62 of 96
Median peer was paid$127K
This provider vs. median0.4×
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 | 1,372 | $42K | |
| 2019 | 567 | $11K |
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 | 73% | 853 | 754 | $39K |
| 99307 | 13% | 587 | 253 | $7K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.7% | 45 | 40 | $2K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.3% | 174 | 114 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.8% | 17 | 14 | $949.36 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 90 | 78 | $520.65 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 68 | 30 | $386.10 |
| 99304 | <1% | 48 | 48 | $300.00 | |
| 92551 | <1% | 14 | 14 | $117.88 | |
| 96160 | <1% | 12 | 12 | $26.80 | |
| 81003 | <1% | 17 | 17 | $16.66 | |
| 99173 | <1% | 14 | 14 | $8.88 |
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 officialBURKS, CAMERON (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| WTPC, LLC | Henderson, TN | $966K |
| West Tennessee Primary Care, LLC | Henderson, TN | $263K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.