Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Apex Clinicare LLC

Apex Clinicare LLC was paid $376K by Medicaid between Aug 2021 and Dec 2024, across 9 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 40% of everything it billed.

33Billing provider infoAPEX CLINICARE LLC
WEST CHESTER, OH 45069
33aNPI1699342063assigned 06/04/2021
28Total paid$376K
24GClaims7,996
24DCodes billed9
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers

Next to other Urgent Care Clinic/Center providers in Ohio

Rank by total paid#43 of 95
Median peer was paid$201K
This provider vs. median1.9×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2021558$30K
20222,202$111K
20232,892$128K
2024incomplete2,344$106K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 40% 1,906 1,771 $149K
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 28% 1,693 1,490 $107K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13% 1,188 1,047 $49K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 9.7% 1,145 1,014 $36K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3.9% 717 633 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3.4% 1,116 1,002 $13K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1.8% 183 167 $7K
87807 <1% 34 33 $314.56
81002 <1% 14 12 $36.54

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 officialHOBBS, ALEX (OWNER)