Apple Gate Health Services, INC
Apple Gate Health Services, INC was paid $260K by Medicaid between Jul 2020 and Sep 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
RICHMOND, VA 23221
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Virginia
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 155 | $8K | |
| 2021 | 1,872 | $72K | |
| 2022 | 3,216 | $93K | |
| 2023 | 1,609 | $38K | |
| 2024incomplete | 929 | $49K |
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 | 50% | 2,208 | 1,336 | $131K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 24% | 2,500 | 1,248 | $61K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 672 | 462 | $29K |
| G9012 | Other specified case management service not elsewhere classified | 8.3% | 101 | 97 | $21K |
| 80305 | 5.3% | 1,776 | 1,224 | $14K | |
| 81025 | <1% | 509 | 370 | $3K | |
| 96127 | <1% | 15 | 13 | $48.50 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.