Physician
Apex Pulmonary and Sleep Medicine, PLLC
Apex Pulmonary and Sleep Medicine, PLLC was paid $14K by Medicaid between Jan 2021 and Jul 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 82% of everything it billed.
33Billing provider infoAPEX PULMONARY AND SLEEP MEDICINE, PLLC
CORDOVA, TN 38018
CORDOVA, TN 38018
33aNPI1174144778assigned 05/05/2020
33bProvider typeSleep Medicine (Internal Medicine) Physician
28Total paid$14K
24GClaims763
24DCodes billed3
24AFirst – last monthJan 2021 – Jul 2024
Compared with peers
Next to other Sleep Medicine (Internal Medicine) Physician providers in Tennessee
Rank by total paid#9 of 16
Median peer was paid$14K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2021 | 195 | $3K | |
| 2022 | 222 | $4K | |
| 2023 | 236 | $4K | |
| 2024incomplete | 110 | $2K |
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 | 82% | 603 | 497 | $11K |
| 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% | 143 | 114 | $2K |
| 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 | 2.3% | 17 | 13 | $313.76 |
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 officialHOFMANN, MARC (CEO MANAGER)