Physician
Apex Medical Associates of Wny, PLLC
Apex Medical Associates of Wny, PLLC was paid $836K by Medicaid between Jan 2018 and Feb 2021, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoAPEX MEDICAL ASSOCIATES OF WNY, PLLC
WEST SENECA, NY 14224
WEST SENECA, NY 14224
33aNPI1639239221assigned 12/12/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$836K
24GClaims15,013
24DCodes billed13
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in New York
Rank by total paid#93 of 762
Median peer was paid$22K
This provider vs. median39×
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 | 2,975 | $212K | |
| 2019 | 3,573 | $255K | |
| 2020 | 6,174 | $317K | |
| 2021 | 2,291 | $52K |
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 | 24% | 3,995 | 3,823 | $200K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 18% | 1,471 | 1,391 | $148K |
| 76819 | Fetal biophysical profile; without non-stress testing | 14% | 1,267 | 901 | $115K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 13% | 1,170 | 1,075 | $108K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 12% | 734 | 733 | $99K |
| 76813 | 11% | 877 | 874 | $94K | |
| 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 | 4.4% | 512 | 504 | $37K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.9% | 421 | 421 | $33K |
| 81025 | <1% | 694 | 673 | $2K | |
| 36416 | <1% | 515 | 510 | $192.61 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | 12 | $188.46 |
| 99072 | <1% | 3,329 | 2,944 | $3.34 |
1 more codes
| 0502F | 0% | 16 | $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 officialMECCA, REBECCA (PRACTICE ADMINISTRATOR)