Agency
Apex Homecare Services LLC
Apex Homecare Services LLC was paid $3.76M by Medicaid between Jan 2018 and Sep 2024, across 4 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 89% of everything it billed.
33Billing provider infoAPEX HOMECARE SERVICES LLC
RICHMOND, VA 23233
RICHMOND, VA 23233
33aNPI1275999518assigned 12/31/2015
33bProvider typeCase Management Agency
28Total paid$3.76M
24GClaims37,592
24DCodes billed4
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Case Management Agency providers in Virginia
Rank by total paid#27 of 128
Median peer was paid$331K
This provider vs. median11×
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 | 799 | $42K | |
| 2019 | 867 | $39K | |
| 2020 | 500 | $10K | |
| 2021 | 168 | $6K | |
| 2022 | 4,664 | $501K | |
| 2023 | 22,669 | $2.18M | |
| 2024incomplete | 7,925 | $983K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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) | 89% | 30,648 | 854 | $3.34M |
| T1005 | Respite care services, up to 15 minutes | 8.6% | 4,610 | 301 | $322K |
| 99509 | Home visit for assistance with activities of daily living and personal care | 2.3% | 2,160 | 1,894 | $85K |
| T1028 | Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs | <1% | 174 | 170 | $13K |
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 officialSAPKOTA, KRISHNA (CEO)