Wound Management Institute, Apmc

Wound Management Institute, Apmc was paid $554K by Medicaid between Oct 2022 and Nov 2024, across 12 billing codes. Its largest line is 97598, — 36% of everything it billed.

33Billing provider infoWOUND MANAGEMENT INSTITUTE, APMC
COLTON, CA 92324

33aNPI1083340558assigned 07/27/2022

33bProvider typeSurgery Physician

28Total paid$554K

24GClaims19,923

24DCodes billed12

24AFirst – last monthOct 2022 – Nov 2024

Compared with peers

Next to other Surgery Physician providers in California

Rank by total paid#46 of 437

Median peer was paid$23K

This provider vs. median24×

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
2022	2,664	$74K
2023	13,154	$425K
2024incomplete	4,105	$54K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
97598		36%	5,716	466	$201K
97597		30%	7,417	705	$166K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	25%	4,363	444	$140K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	4.8%	491	68	$27K
99223	Prolong inpt eval add15 m	2.8%	244	236	$16K
99347		<1%	288	88	$1K
99349		<1%	1,242	326	$1K
99418	Prolong nursin fac eval 15m	<1%	14	14	$776.28
99356		<1%	27	27	$728.97
99490	Ccm add 20min	<1%	23	22	$357.28
99348		<1%	81	31	$182.91
G0316	Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes)	<1%	17	15	$61.61

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 officialROGERS, A J (MEDICAL DIRECTOR)