Apex Healthcare Medical Center INC
Apex Healthcare Medical Center INC was paid $1.16M by Medicaid between Apr 2018 and Jan 2023, across 44 billing codes. Its largest line is 99202, Office or other outpatient visit for the evaluation and management of a new patient, straightforward — 58% of everything it billed.
33Billing provider infoAPEX HEALTHCARE MEDICAL CENTER INC
HEMET, CA 92544
HEMET, CA 92544
33aNPI1730385535assigned 06/27/2007
33bProvider typeSpecialist
28Total paid$1.16M
24GClaims30,346
24DCodes billed44
24AFirst – last monthApr 2018 – Jan 2023
Compared with peers
Next to other Specialist providers in California
Rank by total paid#172 of 1,230
Median peer was paid$51K
This provider vs. median23×
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 | 1,006 | $55K | |
| 2019 | 8,727 | $321K | |
| 2020 | 5,469 | $208K | |
| 2021 | 7,235 | $264K | |
| 2022 | 7,613 | $302K | |
| 2023 | 296 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 58% | 10,449 | 9,934 | $676K |
| 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 | 9.9% | 5,152 | 4,623 | $114K |
| 99443 | 7.0% | 1,017 | 976 | $81K | |
| 99205 | Prolong outpt/office vis | 5.1% | 690 | 690 | $60K |
| 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 | 4.6% | 858 | 858 | $53K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.4% | 884 | 834 | $51K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.9% | 3,131 | 2,839 | $45K |
| 99442 | 1.8% | 450 | 433 | $21K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.4% | 520 | 153 | $16K |
| 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% | 278 | 277 | $9K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 82 | 82 | $7K |
| S9083 | Global fee urgent care centers | <1% | 117 | 117 | $6K |
32 more codes
| 99441 | <1% | 97 | $4K | |
| 20610 | <1% | 55 | $3K | |
| 99245 | <1% | 25 | $3K | |
| 99223 | Prolong inpt eval add15 m | <1% | 26 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,305 | $2K |
| 81002 | <1% | 1,307 | $2K | |
| 82962 | <1% | 634 | $1K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 38 | $1K |
| 81025 | <1% | 300 | $641.29 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 20 | $617.20 |
| 90962 | <1% | 13 | $494.12 | |
| 99000 | <1% | 225 | $434.39 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 14 | $356.40 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 173 | $241.28 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $221.70 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 282 | $5.28 |
| 94760 | 0% | 532 | $0.00 | |
| 3044F | 0% | 82 | $0.00 | |
| 3074F | 0% | 50 | $0.00 | |
| 87430 | 0% | 318 | $0.00 | |
| 1036F | 0% | 210 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 13 | $0.00 |
| 0500F | 0% | 16 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 12 | $0.00 |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | 0% | 15 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 276 | $0.00 |
| 3078F | 0% | 85 | $0.00 | |
| 81003 | 0% | 34 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 309 | $0.00 |
| 99201 | 0% | 32 | $0.00 | |
| 4004F | 0% | 188 | $0.00 | |
| 3051F | 0% | 19 | $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 officialGUTIERREZ, ROSE (MANAGER)
Parent organizationAPEX HEALTHCARE MEDICAL CENTER INC
| Provider | Location | Paid |
|---|---|---|
| Apex Healthcare Medical Center INC | Hemet, CA | $234K |
| Apex Healthcare Medical Center INC | Hemet, CA | $219K |
| Seven Star Medical Group INC. | Hemet, CA | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.