Physician
Apex Emergency Medical Group, INC.
Apex Emergency Medical Group, INC. was paid $15.95M by Medicaid between Jan 2018 and Aug 2021, across 43 billing codes. Its largest line is 99285, emergency room visit (most serious) — 42% of everything it billed.
33Billing provider infoAPEX EMERGENCY MEDICAL GROUP, INC.
HEMET, CA 92543
HEMET, CA 92543
33aNPI1265711089assigned 08/10/2011
33bProvider typeEmergency Medicine Physician
28Total paid$15.95M
24GClaims291,290
24DCodes billed43
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Emergency Medicine Physician providers in California
Rank by total paid#21 of 988
Median peer was paid$32K
This provider vs. median503×
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 | 85,188 | $4.69M | |
| 2019 | 91,045 | $4.94M | |
| 2020 | 68,732 | $3.74M | |
| 2021 | 46,325 | $2.59M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 42% | 76,116 | 71,849 | $6.73M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 30% | 79,592 | 76,356 | $4.83M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 16% | 63,823 | 61,602 | $2.59M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 5.6% | 8,882 | 8,410 | $893K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.7% | 37,100 | 34,000 | $437K |
| 12001 | <1% | 1,179 | 1,164 | $95K | |
| 12002 | <1% | 584 | 575 | $50K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 2,104 | 2,018 | $48K |
| 12011 | <1% | 554 | 548 | $47K | |
| 71045 | Radiologic examination, chest; single view | <1% | 6,831 | 6,603 | $40K |
| 99406 | <1% | 4,384 | 4,187 | $39K | |
| 93042 | <1% | 4,124 | 3,931 | $32K |
31 more codes
| 29125 | <1% | 497 | $30K | |
| 31500 | <1% | 523 | $22K | |
| 99292 | <1% | 438 | $21K | |
| 29515 | <1% | 176 | $12K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 749 | $11K |
| 10061 | <1% | 148 | $10K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 759 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 399 | $6K |
| 92950 | <1% | 52 | $4K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 129 | $2K |
| 73120 | <1% | 217 | $1K | |
| 12013 | <1% | 12 | $1K | |
| 73620 | <1% | 178 | $984.44 | |
| 36556 | <1% | 14 | $896.79 | |
| 73560 | <1% | 147 | $881.66 | |
| 74018 | <1% | 120 | $880.25 | |
| 72100 | <1% | 99 | $860.71 | |
| 73600 | <1% | 105 | $556.10 | |
| 73020 | <1% | 100 | $475.15 | |
| 73130 | <1% | 87 | $473.35 | |
| 73564 | <1% | 26 | $205.77 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | <1% | 418 | $192.03 |
| 72040 | <1% | 24 | $167.58 | |
| 73030 | <1% | 15 | $95.58 | |
| 73630 | <1% | 13 | $93.94 | |
| 73590 | <1% | 15 | $86.48 | |
| 73070 | <1% | 13 | $84.03 | |
| 73610 | <1% | 12 | $73.99 | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 164 | $0.00 |
| G9745 | Documented reason for not screening or recommending a follow-up for high blood pressure | 0% | 324 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 44 | $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 officialHANNA, TODD (AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Apex Emergency Medical Group- Chapman INC | Orange, CA | $83K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.