Apex Healthcare Medical Center INC
Apex Healthcare Medical Center INC was paid $234K by Medicaid between Jan 2018 and Mar 2023, across 10 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 35% of everything it billed.
33Billing provider infoAPEX HEALTHCARE MEDICAL CENTER INC
HEMET, CA 92544
HEMET, CA 92544
33aNPI1184820987assigned 06/27/2007
33bProvider typeSpecialist
28Total paid$234K
24GClaims3,003
24DCodes billed10
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Specialist providers in California
Rank by total paid#394 of 1,230
Median peer was paid$51K
This provider vs. median4.6×
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 | 1,393 | $105K | |
| 2019 | 299 | $15K | |
| 2020 | 347 | $23K | |
| 2021 | 618 | $67K | |
| 2022 | 298 | $22K | |
| 2023 | 48 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 35% | 852 | 769 | $81K |
| 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 | 25% | 1,020 | 958 | $59K |
| 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 | 16% | 362 | 349 | $38K |
| 99205 | Prolong outpt/office vis | 11% | 183 | 176 | $25K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.2% | 184 | 182 | $14K |
| 20610 | 2.7% | 117 | 95 | $6K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 165 | 155 | $6K |
| 99442 | 1.3% | 48 | 46 | $3K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 58 | 51 | $658.70 |
| 99443 | <1% | 14 | 13 | $184.87 |
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 officialGUTIERREZ, ROSE (MANAGER)
Parent organizationAPEX HEALTHCARE MEDICAL CENTER INC
| Provider | Location | Paid |
|---|---|---|
| Apex Healthcare Medical Center INC | Hemet, CA | $1.16M |
| Apex Healthcare Medical Center INC | Hemet, CA | $219K |
| Seven Star Medical Group INC. | Hemet, CA | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.