Clinic
Apicha Community Health Center
Apicha Community Health Center was paid $8.18M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoAPICHA COMMUNITY HEALTH CENTER
NEW YORK, NY 10013
NEW YORK, NY 10013
33aNPI1730303017assigned 04/11/2007
33bProvider typeHealth Service Clinic/Center
28Total paid$8.18M
24GClaims75,275
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Health Service Clinic/Center providers in New York
Rank by total paid#6 of 54
Median peer was paid$410K
This provider vs. median20×
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 | 7,583 | $1.02M | |
| 2019 | 11,001 | $1.52M | |
| 2020 | 10,104 | $1.71M | |
| 2021 | 13,249 | $1.55M | |
| 2022 | 9,804 | $616K | |
| 2023 | 11,830 | $801K | |
| 2024incomplete | 11,704 | $951K |
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 | 46% | 26,833 | 17,943 | $3.76M |
| 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 | 26% | 14,540 | 10,260 | $2.15M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 14% | 6,856 | 2,941 | $1.12M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.9% | 2,858 | 1,614 | $398K |
| 99442 | 4.1% | 2,193 | 1,696 | $339K | |
| 99441 | 1.4% | 1,015 | 813 | $116K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 423 | 267 | $74K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,921 | 2,748 | $60K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 349 | 240 | $57K |
| 90686 | <1% | 1,258 | 1,248 | $20K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 86 | 62 | $16K |
| 97803 | <1% | 79 | 56 | $14K |
34 more codes
| 90651 | <1% | 135 | $13K | |
| 96127 | <1% | 2,407 | $8K | |
| 0064A | <1% | 160 | $6K | |
| 0012A | <1% | 132 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 27 | $5K |
| 0011A | <1% | 123 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 166 | $3K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 38 | $3K |
| 87536 | <1% | 28 | $2K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 420 | $744.60 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,707 | $672.58 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 66 | $612.32 |
| 0134A | <1% | 16 | $584.55 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 833 | $474.52 |
| 90656 | <1% | 19 | $300.67 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 14 | $287.04 |
| 1111F | <1% | 169 | $221.25 | |
| 86701 | <1% | 16 | $85.77 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 94 | $36.68 |
| 3016F | 0% | 150 | $0.00 | |
| 1160F | 0% | 3,477 | $0.00 | |
| 1159F | 0% | 789 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 18 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 85 | $0.00 |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 32 | $0.00 |
| 1126F | 0% | 2,230 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 236 | $0.00 |
| 1036F | 0% | 708 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 142 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 12 | $0.00 |
| 91306 | 0% | 120 | $0.00 | |
| 1125F | 0% | 33 | $0.00 | |
| 1034F | 0% | 33 | $0.00 | |
| 91301 | 0% | 229 | $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 officialRODRIGUEZ, TERESITA (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| After Hours Optical INC. | San Antonio, TX | $78K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.