APEX ANNEX HEALTH CENTER,INC
NPI: 1215484142
· LOS BANOS, CA 93635
· 261QR1300X
$5.90M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
26,294 |
$517K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
50,730 |
43,115 |
$2.87M |
| 99213 |
|
53,903 |
30,660 |
$1.46M |
| 99214 |
|
35,063 |
18,563 |
$928K |
| 99203 |
|
4,829 |
2,974 |
$241K |
| 11721 |
|
5,540 |
1,690 |
$87K |
| 87635 |
|
2,519 |
1,559 |
$81K |
| 87502 |
|
1,452 |
845 |
$49K |
| 99394 |
|
615 |
331 |
$31K |
| 11056 |
|
890 |
260 |
$20K |
| 87651 |
|
865 |
620 |
$18K |
| 92552 |
|
1,048 |
673 |
$17K |
| 99393 |
|
393 |
211 |
$16K |
| 87426 |
|
575 |
524 |
$14K |
| 99204 |
|
327 |
235 |
$10K |
| A6219 |
Gauze <= 16 sq in w/border |
1,350 |
639 |
$9K |
| 11750 |
|
114 |
27 |
$8K |
| A4217 |
Sterile water/saline, 500 ml |
1,938 |
890 |
$8K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
451 |
451 |
$4K |
| 90686 |
|
250 |
153 |
$3K |
| A6266 |
Impreg gauze no h20/sal/yard |
622 |
256 |
$3K |
| 85018 |
|
2,216 |
1,308 |
$2K |
| 81002 |
|
2,603 |
1,573 |
$2K |
| 96127 |
|
574 |
295 |
$2K |
| A6453 |
Self-adher band w <3"/yd |
1,685 |
789 |
$2K |
| 99173 |
|
695 |
583 |
$2K |
| 99212 |
|
105 |
43 |
$1K |
| 90734 |
|
151 |
71 |
$1K |
| 80305 |
|
151 |
126 |
$1K |
| 90651 |
|
94 |
49 |
$1K |
| 99392 |
|
31 |
17 |
$897.28 |
| 83036 |
|
143 |
78 |
$681.03 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
281 |
115 |
$662.56 |
| 90715 |
|
68 |
35 |
$591.50 |
| 90688 |
|
19 |
19 |
$423.70 |
| 90716 |
|
37 |
20 |
$368.73 |
| 90620 |
|
38 |
25 |
$351.00 |
| 99211 |
|
16 |
16 |
$302.76 |
| J1885 |
Ketorolac tromethamine inj |
66 |
36 |
$246.63 |
| 90707 |
|
30 |
16 |
$202.50 |
| 90633 |
|
25 |
13 |
$162.00 |
| A6248 |
Hydrogel drsg gel filler |
303 |
141 |
$114.88 |
| 99442 |
|
29 |
28 |
$92.03 |
| J0696 |
Ceftriaxone sodium injection |
15 |
15 |
$86.27 |
| 82962 |
|
23 |
12 |
$23.54 |
| A6216 |
Non-sterile gauze<=16 sq in |
70 |
30 |
$22.88 |
| A4927 |
Non-sterile gloves |
15 |
12 |
$0.24 |
| 1159F |
|
6,779 |
6,027 |
$0.01 |
| 1160F |
|
6,791 |
6,038 |
$0.01 |
| 3008F |
|
8,217 |
7,359 |
$0.00 |
| 3080F |
|
660 |
399 |
$0.00 |
| 3074F |
|
11,557 |
6,868 |
$0.00 |
| 3079F |
|
2,920 |
1,780 |
$0.00 |
| 3075F |
|
1,439 |
921 |
$0.00 |
| 99443 |
|
73 |
66 |
$0.00 |
| 3078F |
|
10,673 |
6,441 |
$0.00 |
| 3077F |
|
1,279 |
786 |
$0.00 |
| 3725F |
|
90 |
90 |
$0.00 |