Apex Family Healthcare Services, LLC

Apex Family Healthcare Services, LLC was paid $19.03M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 33% of everything it billed.

33Billing provider infoAPEX FAMILY HEALTHCARE SERVICES, LLC
STOCKBRIDGE, GA 30281

33aNPI1447670518assigned 04/16/2014

33bProvider typeCase Management Agency

28Total paid$19.03M

24GClaims215,283

24DCodes billed28

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Case Management Agency providers in Georgia

Rank by total paid#2 of 6

Median peer was paid$342K

This provider vs. median56×

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	7,298	$606K
2019	18,001	$1.88M
2020	29,559	$2.75M
2021	35,348	$3.00M
2022	40,072	$3.50M
2023	44,197	$3.71M
2024incomplete	40,808	$3.59M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	33%	78,691	30,108	$6.31M
H2017	Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes	13%	26,599	8,335	$2.39M
H2015	Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes	9.7%	22,184	8,338	$1.84M
H2014	Skills training and development, per 15 minutes	9.0%	20,109	9,610	$1.72M
H0031	Mental health assessment, by non-physician	7.1%	8,224	7,002	$1.36M
H0032	Mental health service plan development by non-physician	5.9%	7,375	6,836	$1.11M
H0004	Behavioral health counseling and therapy, per 15 minutes	5.0%	11,919	6,152	$947K
T1016	Case management, each 15 minutes	4.8%	10,212	4,234	$908K
T1001	Nursing assessment / evaluation	2.6%	2,533	2,341	$500K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	2.0%	3,635	3,535	$385K
90847	Family psychotherapy with the patient present, 50 minutes	2.0%	5,766	3,572	$383K
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	1.4%	4,007	3,751	$265K

16 more codes

90846	Family psychotherapy without the patient present, 50 minutes	1.2%	3,417	$235K
90834	Psychotherapy session, about 45 minutes	1.0%	3,159	$193K
99213	Doctor's office visit, returning patient (routine)	<1%	3,630	$181K
T1002	Rn services, up to 15 minutes	<1%	666	$99K
T1003	Lpn/lvn services, up to 15 minutes	<1%	853	$63K
99215	Doctor's office visit, returning patient (complex)	<1%	438	$45K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	580	$35K
90832	Psychotherapy session, about 30 minutes	<1%	849	$28K
99205	Prolong outpt/office vis	<1%	108	$15K
90792	Psychiatric diagnostic evaluation with medical services	<1%	61	$7K
99204	Doctor's office visit, new patient (more involved)	<1%	103	$7K
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	66	$4K
99203	Doctor's office visit, new patient (routine)	<1%	56	$3K
99223	Prolong inpt eval add15 m	<1%	14	$2K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	17	$664.08
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	12	$432.27

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 officialBOLAR, DEMETRIA (MANAGING PARTNER)