Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

APEX PHYSICAL MEDICINE AND REHABILITATION PROFESSIONAL LLC

NPI: 1609344290 · COLORADO SPRINGS, CO 80917 · Clinical Medical Laboratory · NPI assigned 11/13/2018

$1.38M
Total Medicaid Paid
33,967
Total Claims
23,068
Beneficiaries
53
Codes Billed
2020-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBISSELL, JOHN (OWNER/PHYSICIAN)
NPI Enumeration Date11/13/2018

Related Entities

Other providers sharing the same authorized official: BISSELL, JOHN

ProviderCityStateTotal Paid
BISSELL EYE CARE, LLC BAKERSTOWN PA $2K

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 6,895 5,848 $1.07M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 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 456 361 $37K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 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 456 361 $9K
83992 88 77 $2K
80364 88 77 $1K
80373 88 77 $1K
80348 88 77 $1K
80336 88 77 $1K
80323 88 77 $1K
80347 88 77 $1K
80369 88 77 $1K
80372 88 77 $1K
80355 88 77 $1K
80366 88 77 $1K
80365 88 77 $1K
80354 88 77 $1K
80339 88 77 $1K
80368 88 77 $1K
80371 88 77 $1K
80324 88 77 $1K
80333 88 77 $1K
80358 88 77 $1K
80359 88 77 $1K
80349 88 77 $1K
80345 88 77 $1K
96132 185 183 $339.17
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 686 370 $225.32
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 227 198 $136.12
96136 251 235 $128.55
96137 312 288 $116.55
20561 206 118 $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.) 106 105 $98.58
99439 30 26 $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.) 107 106 $72.04
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 653 348 $71.88
99490 Ccm add 20min 30 26 $63.73
96116 141 66 $18.87
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 16 13 $8.16
J2060 Injection, lorazepam, 2 mg 596 319 $3.33
J2405 Injection, ondansetron hydrochloride, per 1 mg 513 271 $0.70
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 45 27 $0.00
97012 15 12 $0.00
80363 88 77 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 234 184 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 677 372 $0.00
J3490 Unclassified drugs 641 336 $0.00
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 19 13 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 12 12 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 53 32 $0.00
99205 Prolong outpt/office vis 31 30 $0.00
98943 15 12 $0.00