Physician
Apical Healthcare LLC
Apical Healthcare LLC was paid $165K by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 40% of everything it billed.
33Billing provider infoAPICAL HEALTHCARE LLC
FORT WAYNE, IN 46802
FORT WAYNE, IN 46802
33aNPI1881960433assigned 03/28/2012
33bProvider typeInternal Medicine Physician
28Total paid$165K
24GClaims11,622
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in Indiana
Rank by total paid#81 of 316
Median peer was paid$17K
This provider vs. median9.8×
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 | 2,736 | $26K | |
| 2019 | 1,535 | $30K | |
| 2020 | 1,334 | $28K | |
| 2021 | 1,534 | $16K | |
| 2022 | 1,757 | $16K | |
| 2023 | 1,867 | $25K | |
| 2024incomplete | 859 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 40% | 7,080 | 4,394 | $66K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 23% | 2,420 | 1,655 | $39K |
| 99336 | 16% | 734 | 543 | $26K | |
| 99337 | 16% | 795 | 494 | $26K | |
| 99306 | Prolong nursin fac eval 15m | 2.5% | 157 | 139 | $4K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.1% | 60 | 13 | $2K |
| 99318 | <1% | 184 | 169 | $971.46 | |
| 99328 | <1% | 33 | 20 | $626.16 | |
| 99349 | <1% | 15 | 12 | $448.29 | |
| 99307 | <1% | 22 | 21 | $204.67 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 30 | 24 | $94.74 |
| 99497 | 0% | 65 | 57 | $0.00 |
2 more codes
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 officialILO, DAVID (SOLE MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Dufi LLC | Fort Wayne, IN | $247.94 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.