Supplier
Apex Pharmacy
Apex Pharmacy was paid $3.23M by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is E0601, Continuous positive airway pressure (cpap) device — 32% of everything it billed.
33Billing provider infoAPEX PHARMACY
ARROYO GRANDE, CA 93420
ARROYO GRANDE, CA 93420
33aNPI1518948686assigned 11/07/2005
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$3.23M
24GClaims59,759
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in California
Rank by total paid#103 of 946
Median peer was paid$15K
This provider vs. median212×
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 | 5,708 | $296K | |
| 2019 | 7,337 | $358K | |
| 2020 | 10,422 | $450K | |
| 2021 | 9,915 | $440K | |
| 2022 | 8,661 | $497K | |
| 2023 | 9,957 | $688K | |
| 2024incomplete | 7,759 | $499K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E0601 | Continuous positive airway pressure (cpap) device | 32% | 10,121 | 10,089 | $1.03M |
| E0562 | Humidifier, heated, used with positive airway pressure device | 12% | 5,370 | 5,349 | $393K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 11% | 4,873 | 4,826 | $361K |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | 10% | 1,020 | 1,009 | $330K |
| K0001 | Standard wheelchair | 4.2% | 3,074 | 3,059 | $136K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 4.0% | 3,864 | 3,831 | $130K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 2.5% | 1,145 | 1,143 | $79K |
| T4541 | Incontinence product, disposable underpad, large, each | 2.4% | 986 | 983 | $78K |
| A7030 | Full face mask used with positive airway pressure device, each | 2.4% | 1,436 | 1,417 | $76K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | 2.3% | 2,338 | 2,322 | $74K |
| K0738 | Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing | 2.3% | 3,264 | 3,242 | $74K |
| A7035 | Headgear used with positive airway pressure device | 2.2% | 3,478 | 3,443 | $71K |
23 more codes
| E0570 | Nebulizer, with compressor | 1.7% | 2,599 | $55K |
| A7031 | Face mask interface, replacement for full face mask, each | 1.7% | 1,479 | $54K |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | 1.5% | 1,702 | $48K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | 1.1% | 2,997 | $34K |
| E0630 | Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) | <1% | 596 | $27K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 4,200 | $26K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | <1% | 295 | $23K |
| K0002 | Standard hemi (low seat) wheelchair | <1% | 333 | $21K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | <1% | 227 | $18K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | <1% | 895 | $16K |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | <1% | 492 | $12K |
| K0823 | Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds | <1% | 13 | $10K |
| E1392 | Portable oxygen concentrator, rental | <1% | 345 | $8K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | <1% | 275 | $8K |
| E0250 | Hospital bed, fixed height, with any type side rails, with mattress | <1% | 507 | $7K |
| E0978 | Wheelchair accessory, positioning belt/safety belt/pelvic strap, each | <1% | 621 | $6K |
| E0961 | Manual wheelchair accessory, wheel lock brake extension (handle), each | <1% | 413 | $5K |
| E0181 | Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty | <1% | 478 | $5K |
| E0247 | Transfer bench for tub or toilet with or without commode opening | <1% | 61 | $5K |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 170 | $3K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | <1% | 12 | $1K |
| E0951 | Heel loop/holder, any type, with or without ankle strap, each | <1% | 53 | $472.13 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 27 | $29.77 |
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 officialPATEL, PASHMINA (PRESIDENT)