Managed care
Applecare Medical Group ST. Francis,inc.
Applecare Medical Group ST. Francis,inc. was paid $44K by Medicaid between Jan 2018 and Oct 2018, across 86 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.
33Billing provider infoAPPLECARE MEDICAL GROUP ST. FRANCIS,INC.
BUENA PARK, CA 90620
BUENA PARK, CA 90620
33aNPI1477751980assigned 07/05/2007
33bProvider typeHealth Maintenance Organization
28Total paid$44K
24GClaims23,312
24DCodes billed86
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other Health Maintenance Organization providers in California
Rank by total paid#80 of 151
Median peer was paid$59K
This provider vs. median0.7×
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 | 23,312 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 72% | 3,110 | 2,780 | $32K |
| 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 | 11% | 741 | 709 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 167 | 154 | $5K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 3.0% | 565 | 557 | $1K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 1.6% | 18 | 18 | $720.00 |
| 1111F | <1% | 81 | 81 | $51.60 | |
| 81001 | <1% | 1,017 | 995 | $34.77 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 1,053 | 1,041 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 1,587 | 1,528 | $0.00 |
| 84436 | 0% | 193 | 190 | $0.00 | |
| 87077 | 0% | 39 | 39 | $0.00 | |
| 86592 | 0% | 249 | 247 | $0.00 |
74 more codes
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 477 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,801 | $0.00 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 551 | $0.00 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 658 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 1,193 | $0.00 |
| 3008F | 0% | 522 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 198 | $0.00 |
| 3074F | 0% | 443 | $0.00 | |
| 85730 | 0% | 31 | $0.00 | |
| 1101F | 0% | 12 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 1,690 | $0.00 |
| 1170F | 0% | 12 | $0.00 | |
| 85027 | 0% | 191 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 74 | $0.00 |
| 85018 | 0% | 28 | $0.00 | |
| 87088 | 0% | 303 | $0.00 | |
| 86140 | 0% | 99 | $0.00 | |
| 3079F | 0% | 69 | $0.00 | |
| 82728 | 0% | 109 | $0.00 | |
| 82607 | 0% | 64 | $0.00 | |
| 82043 | 0% | 487 | $0.00 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 153 | $0.00 |
| 83550 | 0% | 44 | $0.00 | |
| 86803 | 0% | 61 | $0.00 | |
| 87070 | 0% | 69 | $0.00 | |
| 83735 | 0% | 138 | $0.00 | |
| 88142 | 0% | 12 | $0.00 | |
| 83615 | 0% | 69 | $0.00 | |
| 82962 | 0% | 50 | $0.00 | |
| 82550 | 0% | 12 | $0.00 | |
| 85652 | 0% | 357 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 34 | $0.00 |
| 84479 | 0% | 17 | $0.00 | |
| 86060 | 0% | 16 | $0.00 | |
| 3075F | 0% | 43 | $0.00 | |
| 84153 | 0% | 50 | $0.00 | |
| 82746 | 0% | 12 | $0.00 | |
| 1036F | 0% | 13 | $0.00 | |
| 83690 | 0% | 12 | $0.00 | |
| 83001 | 0% | 12 | $0.00 | |
| 92551 | 0% | 12 | $0.00 | |
| 84550 | 0% | 420 | $0.00 | |
| 83540 | 0% | 190 | $0.00 | |
| 80061 | Lipid panel | 0% | 1,419 | $0.00 |
| 86038 | 0% | 74 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 86 | $0.00 |
| 3078F | 0% | 479 | $0.00 | |
| 82570 | 0% | 502 | $0.00 | |
| 84439 | 0% | 267 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 17 | $0.00 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 0% | 24 | $0.00 |
| 87186 | 0% | 39 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 26 | $0.00 |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 0% | 144 | $0.00 |
| 0521F | 0% | 25 | $0.00 | |
| 84100 | 0% | 179 | $0.00 | |
| 86431 | 0% | 48 | $0.00 | |
| 82977 | 0% | 46 | $0.00 | |
| 84702 | 0% | 38 | $0.00 | |
| 81002 | 0% | 31 | $0.00 | |
| 3288F | 0% | 14 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 12 | $0.00 |
| 82248 | 0% | 26 | $0.00 | |
| 92552 | 0% | 12 | $0.00 | |
| 1158F | 0% | 13 | $0.00 | |
| 99173 | 0% | 25 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 13 | $0.00 |
| 85610 | 0% | 47 | $0.00 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 13 | $0.00 |
| 82274 | 0% | 14 | $0.00 | |
| 1159F | 0% | 13 | $0.00 | |
| 1160F | 0% | 13 | $0.00 | |
| 84481 | 0% | 13 | $0.00 | |
| 80076 | 0% | 12 | $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 officialJIVRAJKA, VINOD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Applecare Medical Group,inc | Buena Park, CA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.