Clinic
Apex Annex Health Center,inc
Apex Annex Health Center,inc was paid $5.90M by Medicaid between Jul 2018 and Dec 2024, across 57 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 49% of everything it billed.
33Billing provider infoAPEX ANNEX HEALTH CENTER,INC
LOS BANOS, CA 93635
LOS BANOS, CA 93635
33aNPI1215484142assigned 09/08/2016
33bProvider typeRural Health Clinic/Center
28Total paid$5.90M
24GClaims223,435
24DCodes billed57
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#81 of 215
Median peer was paid$3.62M
This provider vs. median1.6×
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 | 1,627 | $66K | |
| 2019 | 19,823 | $677K | |
| 2020 | 32,930 | $1.11M | |
| 2021 | 40,327 | $1.33M | |
| 2022 | 37,045 | $1.10M | |
| 2023 | 65,389 | $1.09M | |
| 2024incomplete | 26,294 | $517K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 49% | 50,730 | 43,115 | $2.87M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 53,903 | 30,660 | $1.46M |
| 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 | 16% | 35,063 | 18,563 | $928K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.1% | 4,829 | 2,974 | $241K |
| 11721 | 1.5% | 5,540 | 1,690 | $87K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.4% | 2,519 | 1,559 | $81K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 1,452 | 845 | $49K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 615 | 331 | $31K |
| 11056 | <1% | 890 | 260 | $20K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 865 | 620 | $18K |
| 92552 | <1% | 1,048 | 673 | $17K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 393 | 211 | $16K |
45 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 575 | $14K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 327 | $10K |
| A6219 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | <1% | 1,350 | $9K |
| 11750 | <1% | 114 | $8K | |
| A4217 | Sterile water/saline, 500 ml | <1% | 1,938 | $8K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 451 | $4K |
| 90686 | <1% | 250 | $3K | |
| A6266 | Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard | <1% | 622 | $3K |
| 85018 | <1% | 2,216 | $2K | |
| 81002 | <1% | 2,603 | $2K | |
| 96127 | <1% | 574 | $2K | |
| A6453 | Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard | <1% | 1,685 | $2K |
| 99173 | <1% | 695 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 105 | $1K |
| 90734 | <1% | 151 | $1K | |
| 80305 | <1% | 151 | $1K | |
| 90651 | <1% | 94 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 31 | $897.28 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 143 | $681.03 |
| A6222 | Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 281 | $662.56 |
| 90715 | <1% | 68 | $591.50 | |
| 90688 | <1% | 19 | $423.70 | |
| 90716 | <1% | 37 | $368.73 | |
| 90620 | <1% | 38 | $351.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | $302.76 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 66 | $246.63 |
| 90707 | <1% | 30 | $202.50 | |
| 90633 | <1% | 25 | $162.00 | |
| A6248 | Hydrogel dressing, wound filler, gel, per fluid ounce | <1% | 303 | $114.88 |
| 99442 | <1% | 29 | $92.03 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 15 | $86.27 |
| 82962 | <1% | 23 | $23.54 | |
| A6216 | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 70 | $22.88 |
| A4927 | Gloves, non-sterile, per 100 | <1% | 15 | $0.24 |
| 1159F | <1% | 6,779 | $0.01 | |
| 1160F | <1% | 6,791 | $0.01 | |
| 3008F | 0% | 8,217 | $0.00 | |
| 3080F | 0% | 660 | $0.00 | |
| 3074F | 0% | 11,557 | $0.00 | |
| 3079F | 0% | 2,920 | $0.00 | |
| 3075F | 0% | 1,439 | $0.00 | |
| 99443 | 0% | 73 | $0.00 | |
| 3078F | 0% | 10,673 | $0.00 | |
| 3077F | 0% | 1,279 | $0.00 | |
| 3725F | 0% | 90 | $0.00 |
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 officialPERRY, DEBORAH (ADMINISTRATOR)