Physician
Applecare Hospitalist Medical Group, INC.
Applecare Hospitalist Medical Group, INC. was paid $23K by Medicaid between Jan 2018 and Feb 2022, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.
33Billing provider infoAPPLECARE HOSPITALIST MEDICAL GROUP, INC.
DOWNEY, CA 90241
DOWNEY, CA 90241
33aNPI1629037577assigned 03/20/2006
33bProvider typeInternal Medicine Physician
28Total paid$23K
24GClaims28,908
24DCodes billed59
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#1,137 of 2,679
Median peer was paid$13K
This provider vs. median1.8×
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 | 5,005 | $3K | |
| 2019 | 9,504 | $4K | |
| 2020 | 7,286 | $3K | |
| 2021 | 5,708 | $9K | |
| 2022 | 1,405 | $4K |
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 | 87% | 6,422 | 5,889 | $20K |
| 90686 | 3.4% | 79 | 65 | $765.95 | |
| 99441 | 3.0% | 231 | 217 | $676.92 | |
| 90756 | 2.6% | 61 | 61 | $584.66 | |
| 90674 | 2.2% | 84 | 81 | $504.07 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 448 | 445 | $119.79 |
| 90688 | <1% | 12 | 12 | $82.50 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 315 | 294 | $62.18 |
| 1111F | <1% | 1,659 | 1,581 | $42.09 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 797 | 791 | $33.96 |
| 36415 | Collection of venous blood by venipuncture | <1% | 979 | 927 | $29.10 |
| 99000 | <1% | 172 | 159 | $24.52 |
47 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 47 | $9.06 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 157 | $0.81 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 690 | $0.31 |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 347 | $0.06 |
| 99442 | <1% | 284 | $0.04 | |
| 1160F | <1% | 482 | $0.01 | |
| 1126F | <1% | 344 | $0.01 | |
| 1090F | 0% | 298 | $0.00 | |
| 93793 | 0% | 1,048 | $0.00 | |
| 99222 | Initial hospital care, per day, moderate complexity | 0% | 28 | $0.00 |
| 3078F | 0% | 1,566 | $0.00 | |
| 1159F | 0% | 466 | $0.00 | |
| 85610 | 0% | 1,052 | $0.00 | |
| 4004F | 0% | 502 | $0.00 | |
| 1158F | 0% | 471 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 147 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 152 | $0.00 |
| 3288F | 0% | 500 | $0.00 | |
| 3077F | 0% | 155 | $0.00 | |
| 82948 | 0% | 12 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 31 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 13 | $0.00 |
| 0521F | 0% | 19 | $0.00 | |
| 3046F | 0% | 12 | $0.00 | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 0% | 32 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 114 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 72 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 47 | $0.00 |
| 96160 | 0% | 41 | $0.00 | |
| 1125F | 0% | 164 | $0.00 | |
| 3074F | 0% | 1,530 | $0.00 | |
| 3075F | 0% | 306 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 1,959 | $0.00 |
| 99239 | Hospital discharge day management, more than 30 minutes | 0% | 81 | $0.00 |
| 1170F | 0% | 394 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 480 | $0.00 |
| 3079F | 0% | 393 | $0.00 | |
| 1101F | 0% | 509 | $0.00 | |
| 3008F | 0% | 2,221 | $0.00 | |
| 1036F | 0% | 71 | $0.00 | |
| 3080F | 0% | 37 | $0.00 | |
| 3017F | 0% | 95 | $0.00 | |
| 82962 | 0% | 63 | $0.00 | |
| 3014F | 0% | 76 | $0.00 | |
| G9273 | Blood pressure has a systolic value of < 140 and a diastolic value of < 90 | 0% | 32 | $0.00 |
| 1157F | 0% | 59 | $0.00 | |
| 3044F | 0% | 50 | $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 officialCHRISTIDES, GEORGE (PRESIDENT)
Parent organizationOPTUM