Managed care
Applecare Medical Group,inc
Applecare Medical Group,inc was paid $2K by Medicaid between Jan 2018 and Oct 2018, across 111 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoAPPLECARE MEDICAL GROUP,INC
BUENA PARK, CA 90620
BUENA PARK, CA 90620
33aNPI1851599369assigned 07/05/2007
33bProvider typeHealth Maintenance Organization
28Total paid$2K
24GClaims45,589
24DCodes billed111
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other Health Maintenance Organization providers in California
Rank by total paid#116 of 151
Median peer was paid$59K
This provider vs. median0.0×
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 | 45,589 | $2K |
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 | 57% | 909 | 883 | $957.79 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 3,518 | 3,075 | $720.01 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 1,172 | 1,130 | $0.00 |
| 83001 | 0% | 76 | 75 | $0.00 | |
| 3074F | 0% | 580 | 538 | $0.00 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 402 | 402 | $0.00 |
| 82670 | 0% | 13 | 13 | $0.00 | |
| 85027 | 0% | 455 | 453 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 2,006 | 1,992 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 3,652 | 3,377 | $0.00 |
| 2010F | 0% | 30 | 28 | $0.00 | |
| 82746 | 0% | 193 | 193 | $0.00 |
99 more codes
| 87077 | 0% | 158 | $0.00 | |
| 82728 | 0% | 210 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 3,427 | $0.00 |
| 84153 | 0% | 267 | $0.00 | |
| 82607 | 0% | 296 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 3,342 | $0.00 |
| 3008F | 0% | 871 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 331 | $0.00 |
| 87070 | 0% | 157 | $0.00 | |
| 81001 | 0% | 1,675 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 390 | $0.00 |
| 85730 | 0% | 220 | $0.00 | |
| 86140 | 0% | 176 | $0.00 | |
| 82043 | 0% | 687 | $0.00 | |
| 83550 | 0% | 142 | $0.00 | |
| 88142 | 0% | 270 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 13 | $0.00 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 0% | 129 | $0.00 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 978 | $0.00 |
| 84436 | 0% | 372 | $0.00 | |
| 2000F | 0% | 30 | $0.00 | |
| 87340 | 0% | 69 | $0.00 | |
| 86376 | 0% | 90 | $0.00 | |
| 3079F | 0% | 145 | $0.00 | |
| 86803 | 0% | 179 | $0.00 | |
| 85652 | 0% | 294 | $0.00 | |
| 87088 | 0% | 543 | $0.00 | |
| 83735 | 0% | 115 | $0.00 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 0% | 343 | $0.00 |
| 3080F | 0% | 40 | $0.00 | |
| 83002 | 0% | 58 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 733 | $0.00 |
| 84479 | 0% | 282 | $0.00 | |
| 1000F | 0% | 15 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 2,250 | $0.00 |
| 86592 | 0% | 543 | $0.00 | |
| 86225 | 0% | 13 | $0.00 | |
| 84480 | 0% | 59 | $0.00 | |
| 80081 | 0% | 16 | $0.00 | |
| 2001F | 0% | 29 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 13 | $0.00 |
| 94760 | 0% | 18 | $0.00 | |
| 87081 | 0% | 12 | $0.00 | |
| 86695 | 0% | 14 | $0.00 | |
| 82950 | 0% | 16 | $0.00 | |
| 86800 | 0% | 12 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 358 | $0.00 |
| 81003 | 0% | 245 | $0.00 | |
| 83655 | 0% | 84 | $0.00 | |
| 3077F | 0% | 12 | $0.00 | |
| 1159F | 0% | 61 | $0.00 | |
| 3078F | 0% | 400 | $0.00 | |
| 82570 | 0% | 723 | $0.00 | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 0% | 276 | $0.00 |
| 85610 | 0% | 302 | $0.00 | |
| 84702 | 0% | 177 | $0.00 | |
| 3028F | 0% | 30 | $0.00 | |
| 82248 | 0% | 230 | $0.00 | |
| 87481 | 0% | 1,214 | $0.00 | |
| 80074 | 0% | 77 | $0.00 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 0% | 44 | $0.00 |
| 87512 | 0% | 303 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 67 | $0.00 |
| 82274 | 0% | 162 | $0.00 | |
| 86235 | 0% | 12 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 214 | $0.00 |
| 84550 | 0% | 536 | $0.00 | |
| 83540 | 0% | 164 | $0.00 | |
| 86038 | 0% | 208 | $0.00 | |
| 1160F | 0% | 60 | $0.00 | |
| 80061 | Lipid panel | 0% | 2,525 | $0.00 |
| 80076 | 0% | 97 | $0.00 | |
| 84481 | 0% | 247 | $0.00 | |
| 82652 | 0% | 12 | $0.00 | |
| 87799 | 0% | 922 | $0.00 | |
| 97803 | 0% | 121 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 1,182 | $0.00 |
| 86431 | 0% | 190 | $0.00 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 38 | $0.00 |
| 84439 | 0% | 596 | $0.00 | |
| 87186 | 0% | 140 | $0.00 | |
| 86039 | 0% | 25 | $0.00 | |
| 84146 | 0% | 40 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 14 | $0.00 |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 0% | 63 | $0.00 |
| H1003 | Prenatal care, at-risk enhanced service; education | 0% | 102 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 12 | $0.00 |
| 99001 | 0% | 12 | $0.00 | |
| 84403 | 0% | 16 | $0.00 | |
| 82947 | 0% | 12 | $0.00 | |
| 84100 | 0% | 60 | $0.00 | |
| 86787 | 0% | 13 | $0.00 | |
| 82785 | 0% | 12 | $0.00 | |
| 86696 | 0% | 26 | $0.00 | |
| 86200 | 0% | 15 | $0.00 | |
| 81025 | 0% | 42 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 12 | $0.00 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 0% | 23 | $0.00 |
| 86003 | 0% | 13 | $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 officialJIVRAJKA, VINOD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Applecare Medical Group ST. Francis,inc. | Buena Park, CA | $44K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.