Physician
Apex Spine and Pain PLLC
Apex Spine and Pain PLLC was paid $41K by Medicaid between Jul 2022 and Nov 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoAPEX SPINE AND PAIN PLLC
NASHVILLE, TN 37203
NASHVILLE, TN 37203
33aNPI1689316309assigned 04/12/2022
33bProvider typeAnesthesiology Physician
28Total paid$41K
24GClaims4,220
24DCodes billed3
24AFirst – last monthJul 2022 – Nov 2024
Compared with peers
Next to other Anesthesiology Physician providers in Tennessee
Rank by total paid#26 of 64
Median peer was paid$14K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2022 | 1,168 | $11K | |
| 2023 | 2,011 | $19K | |
| 2024incomplete | 1,041 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 54% | 1,669 | 1,308 | $22K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 1,755 | 1,389 | $18K |
| 80305 | 3.0% | 796 | 635 | $1K |
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 officialBEAULIEU, PHILLIP (OWNER/DIRECTOR/MD)