Clinic
Apt Foundation, INC
Apt Foundation, INC was paid $1.32M by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoAPT FOUNDATION, INC
NEW HAVEN, CT 06511
NEW HAVEN, CT 06511
33aNPI1801950951assigned 12/21/2006
33bProvider typeClinic/Center
28Total paid$1.32M
24GClaims29,391
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in Connecticut
Rank by total paid#7 of 36
Median peer was paid$63K
This provider vs. median21×
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 | 6,772 | $311K | |
| 2019 | 5,630 | $233K | |
| 2020 | 4,841 | $214K | |
| 2021 | 3,703 | $164K | |
| 2022 | 3,118 | $138K | |
| 2023 | 2,843 | $138K | |
| 2024incomplete | 2,484 | $117K |
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 | 61% | 17,825 | 14,498 | $803K |
| 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 | 17% | 3,523 | 3,017 | $225K |
| 99442 | 7.8% | 2,341 | 2,003 | $102K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.4% | 2,872 | 2,499 | $84K |
| 99443 | 2.5% | 473 | 404 | $32K | |
| 99385 | 1.6% | 247 | 220 | $21K | |
| 99386 | 1.1% | 138 | 131 | $14K | |
| 90674 | <1% | 1,045 | 545 | $12K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 399 | 333 | $6K |
| 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 | <1% | 52 | 46 | $5K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 63 | 61 | $4K |
| 0031A | <1% | 92 | 89 | $4K |
6 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | $1K |
| 0011A | <1% | 32 | $960.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 87 | $0.00 |
| 91301 | 0% | 71 | $0.00 | |
| 91303 | 0% | 89 | $0.00 | |
| 0012A | 0% | 28 | $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 officialMADDEN, LYNN (PRESIDENT, CEO)
| Provider | Location | Paid |
|---|---|---|
| Apt Foundation, INC | North Haven, CT | $36.23M |
| Apt Foundation, INC | New Haven, CT | $28.87M |
| Apt Foundation INC. | West Haven, CT | $21.35M |
| Apt Foundation, INC | New Haven, CT | $18.93M |
| Apt Foundation INC | New Haven, CT | $11.61M |
| Apt Foundation, INC | New Haven, CT | $2.30M |
| Apt Foundation, INC | New Haven, CT | $1.86M |
| Apt Foundation INC | North Haven, CT | $299K |
| Apt Foundation INC | New Haven, CT | $138K |
| Apt Foundation INC. | West Haven, CT | $58K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.