Apex Medical Associates, LLC

Apex Medical Associates, LLC was paid $17K by Medicaid between Feb 2018 and Oct 2019, across 4 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 80% of everything it billed.

33Billing provider infoAPEX MEDICAL ASSOCIATES, LLC
NORTH HAVEN, CT 06473

33aNPI1477621530assigned 11/30/2006

33bProvider typeInternal Medicine Physician

28Total paid$17K

24GClaims1,147

24DCodes billed4

24AFirst – last monthFeb 2018 – Oct 2019

Compared with peers

Next to other Internal Medicine Physician providers in Connecticut

Rank by total paid#171 of 295

Median peer was paid$35K

This provider vs. median0.5×

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	645	$8K
2019	502	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99308	Subsequent nursing facility care, per day, straightforward	80%	390	186	$14K
99309	Subsequent nursing facility care, per day, low to moderate complexity	12%	51	16	$2K
99306	Prolong nursin fac eval 15m	7.9%	13	13	$1K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	693	234	$0.04

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 officialHONG, XIAOMING (PRESIDENT AND CEO)