Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Apex Human Services, LLC

Apex Human Services, LLC was paid $59.73M by Medicaid between Oct 2020 and Nov 2024, across 6 billing codes. Its largest line is S9123, Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) — 67% of everything it billed.

33Billing provider infoAPEX HUMAN SERVICES, LLC
SECANE, PA 19018
33aNPI1215473558assigned 01/10/2017
33bProvider typeHome Health Agency
28Total paid$59.73M
24GClaims47,943
24DCodes billed6
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers

Next to other Home Health Agency providers in Pennsylvania

Rank by total paid#11 of 404
Median peer was paid$2.66M
This provider vs. median22×

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

$0$1.0M$2.0M$3.0M2018201920202021202220232024
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
YearClaimsPaid
2020631$2.10M
20212,935$9.22M
20224,387$14.17M
20236,438$15.06M
2024incomplete33,552$19.18M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9123 Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) 67% 11,790 2,627 $39.97M
T1002 Rn services, up to 15 minutes 29% 26,644 921 $17.47M
G0156 Services of home health/hospice aide in home health or hospice settings, each 15 minutes 3.2% 7,823 312 $1.94M
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) <1% 957 54 $214K
S9122 Home health aide or certified nurse assistant, providing care in the home; per hour <1% 531 24 $129K
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes <1% 198 186 $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 officialSESAY, MOHAMED (ADMINISTRATOR/DIRECTOR)
Same official

Other billing entities under SESAY, MOHAMED

Full network →
ProviderLocationPaid
Tahara Health, INC.Montgomeryville, PA$584K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.