Apexcare PA

Apexcare PA was paid $378K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 92% of everything it billed.

33Billing provider infoAPEXCARE PA
LUGOFF, SC 29078

33aNPI1508958216assigned 09/29/2006

33bProvider typePediatrics Physician

28Total paid$378K

24GClaims5,208

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in South Carolina

Rank by total paid#74 of 471

Median peer was paid$18K

This provider vs. median21×

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	987	$63K
2019	896	$62K
2020	771	$57K
2021	867	$66K
2022	685	$52K
2023	682	$48K
2024incomplete	320	$31K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	92%	3,758	3,394	$347K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.4%	383	373	$24K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	130	130	$3K
36415	Collection of venous blood by venipuncture	<1%	720	695	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	126	125	$1K
90686		<1%	32	32	$254.91
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	15	15	$205.05
90656		<1%	12	12	$49.37
81002		<1%	13	12	$39.97
90658		0%	19	14	$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 officialBALOGUN, OLAJIDE (MEDICAL DIRECTOR)