Apex Physical Medicine and Rehabilitation Professional LLC

Apex Physical Medicine and Rehabilitation Professional LLC was paid $1.38M by Medicaid between Oct 2020 and Oct 2024, across 53 billing codes. Its largest line is G0483, Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed — 78% of everything it billed.

Compared with peers

Next to other Clinical Medical Laboratory providers in Colorado

Rank by total paid#21 of 91

Median peer was paid$53K

This provider vs. median26×

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
2020	1,561	$56K
2021	1,543	$27K
2022	590	$63K
2023	9,016	$478K
2024incomplete	21,257	$752K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed	78%	6,895	5,848	$1.07M
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	15%	6,246	5,380	$208K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r	2.7%	456	361	$37K
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	1.1%	12,089	5,645	$16K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	456	361	$9K
83992		<1%	88	77	$2K
80364		<1%	88	77	$1K
80373		<1%	88	77	$1K
80348		<1%	88	77	$1K
80336		<1%	88	77	$1K
80323		<1%	88	77	$1K
80347		<1%	88	77	$1K

41 more codes

80369		<1%	88	$1K
80372		<1%	88	$1K
80355		<1%	88	$1K
80366		<1%	88	$1K
80365		<1%	88	$1K
80354		<1%	88	$1K
80339		<1%	88	$1K
80368		<1%	88	$1K
80371		<1%	88	$1K
80324		<1%	88	$1K
80333		<1%	88	$1K
80358		<1%	88	$1K
80359		<1%	88	$1K
80349		<1%	88	$1K
80345		<1%	88	$1K
96132		<1%	185	$339.17
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	686	$225.32
99204	Doctor's office visit, new patient (more involved)	<1%	227	$136.12
96136		<1%	251	$128.55
96137		<1%	312	$116.55
20561		<1%	206	$109.22
G3002	Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.)	<1%	106	$98.58
99439		<1%	30	$97.06
G3003	Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.)	<1%	107	$72.04
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour	<1%	653	$71.88
99490	Ccm add 20min	<1%	30	$63.73
96116		<1%	141	$18.87
98941	Chiropractic manipulative treatment; spinal, 3-4 regions	<1%	16	$8.16
J2060	Injection, lorazepam, 2 mg	<1%	596	$3.33
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	513	$0.70
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	0%	45	$0.00
97012		0%	15	$0.00
80363		0%	88	$0.00
J0131	Injection, acetaminophen, not otherwise specified,10 mg	0%	234	$0.00
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	0%	677	$0.00
J3490	Unclassified drugs	0%	641	$0.00
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	0%	19	$0.00
J2250	Injection, midazolam hydrochloride, per 1 mg	0%	12	$0.00
99213	Doctor's office visit, returning patient (routine)	0%	53	$0.00
99205	Prolong outpt/office vis	0%	31	$0.00
98943		0%	15	$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 officialBISSELL, JOHN (OWNER/PHYSICIAN)

Same official

Other billing entities under BISSELL, JOHN

Full network →

Provider	Location	Paid
Bissell Eye Care, LLC	Bakerstown, PA	$2K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.