Apex Healthcare Medical Center INC
Apex Healthcare Medical Center INC was paid $17K by Medicaid between Jan 2018 and Apr 2023, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoAPEX HEALTHCARE MEDICAL CENTER INC
HEMET, CA 92543
HEMET, CA 92543
33aNPI1811193618assigned 06/27/2007
33bProvider typeSpecialist
28Total paid$17K
24GClaims19,229
24DCodes billed26
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Specialist providers in California
Rank by total paid#754 of 1,230
Median peer was paid$51K
This provider vs. median0.3×
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 | 729 | $2K | |
| 2019 | 1,036 | $2K | |
| 2020 | 2,955 | $1K | |
| 2021 | 7,267 | $10K | |
| 2022 | 6,890 | $1K | |
| 2023 | 352 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 37% | 4,816 | 4,530 | $6K |
| 99245 | 36% | 60 | 60 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 17% | 359 | 346 | $3K |
| 99443 | 4.8% | 43 | 40 | $793.81 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 41 | 41 | $316.98 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 904 | 859 | $207.80 |
| 99442 | 1.1% | 15 | 15 | $181.44 | |
| 90688 | <1% | 24 | 24 | $82.80 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,441 | 2,290 | $3.48 |
| H0049 | Alcohol and/or drug screening | <1% | 2,142 | 2,006 | $0.01 |
| 3078F | 0% | 964 | 919 | $0.00 | |
| 3077F | 0% | 175 | 170 | $0.00 |
14 more codes
| 4004F | 0% | 2,651 | $0.00 | |
| 3051F | 0% | 75 | $0.00 | |
| 3725F | 0% | 117 | $0.00 | |
| 3288F | 0% | 14 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 12 | $0.00 |
| 3074F | 0% | 949 | $0.00 | |
| 1036F | 0% | 1,961 | $0.00 | |
| 3044F | 0% | 933 | $0.00 | |
| 3079F | 0% | 274 | $0.00 | |
| 3080F | 0% | 16 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| 3008F | 0% | 25 | $0.00 | |
| 3061F | 0% | 144 | $0.00 | |
| 3075F | 0% | 62 | $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 officialMATHIAS, BLANCHE (MANAGER)
Parent organizationAPEX HEALTHCARE MEDICAL CENTER INC