Clinic
Apex Healthcare Group PC
Apex Healthcare Group PC was paid $21K by Medicaid between Jan 2018 and Feb 2019, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoAPEX HEALTHCARE GROUP PC
MISHAWAKA, IN 46545
MISHAWAKA, IN 46545
33aNPI1801243688assigned 05/20/2016
33bProvider typePrimary Care Clinic/Center
28Total paid$21K
24GClaims430
24DCodes billed2
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other Primary Care Clinic/Center providers in Indiana
Rank by total paid#19 of 39
Median peer was paid$19K
This provider vs. median1.1×
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 | 330 | $15K | |
| 2019 | 100 | $6K |
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 | 57% | 283 | 232 | $12K |
| 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 | 43% | 147 | 125 | $9K |
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 officialTUTTLE, JACOB (PRESIDENT)