Agency
Apex Primary Care INC
Apex Primary Care INC was paid $61.05M by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 95% of everything it billed.
33Billing provider infoAPEX PRIMARY CARE INC
MCALLEN, TX 78504
MCALLEN, TX 78504
33aNPI1144263328assigned 06/14/2006
33bProvider typeHome Health Agency
28Total paid$61.05M
24GClaims1,291,722
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in Texas
Rank by total paid#18 of 1,243
Median peer was paid$1.86M
This provider vs. median33×
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 | 62,801 | $3.60M | |
| 2019 | 70,363 | $4.16M | |
| 2020 | 143,214 | $6.23M | |
| 2021 | 312,170 | $13.41M | |
| 2022 | 288,242 | $13.28M | |
| 2023 | 219,236 | $9.98M | |
| 2024incomplete | 195,696 | $10.39M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 95% | 1,189,711 | 45,197 | $58.14M |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 3.8% | 85,546 | 2,929 | $2.32M |
| T1005 | Respite care services, up to 15 minutes | <1% | 16,397 | 865 | $578K |
| S9110 | Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month | <1% | 68 | 66 | $14K |
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 officialFLORES, ERIC (CEO)