Physician
Apel, Amy
Apel, Amy was paid $248K by Medicaid between Nov 2020 and Dec 2023, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoAPEL, AMY
MONROEVILLE, PA 15146
MONROEVILLE, PA 15146
33aNPI1932102886assigned 05/24/2005
33bProvider typePediatrics Physician
28Total paid$248K
24GClaims7,125
24DCodes billed25
24AFirst – last monthNov 2020 – Dec 2023
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#310 of 1,257
Median peer was paid$45K
This provider vs. median5.5×
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 | |
|---|---|---|---|
| 2020 | 76 | $2K | |
| 2021 | 1,659 | $55K | |
| 2022 | 2,613 | $95K | |
| 2023 | 2,777 | $95K |
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 | 28% | 1,380 | 1,343 | $69K |
| 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 | 18% | 592 | 572 | $45K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 428 | 426 | $39K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 15% | 439 | 437 | $37K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 322 | 321 | $29K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.0% | 240 | 236 | $22K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 119 | 115 | $2K |
| 99173 | <1% | 753 | 749 | $1K | |
| 90686 | <1% | 363 | 360 | $1K | |
| 87428 | <1% | 21 | 21 | $500.43 | |
| 90648 | <1% | 146 | 146 | $409.00 | |
| 90670 | <1% | 124 | 124 | $407.00 |
13 more codes
| 92551 | <1% | 818 | $380.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 187 | $167.69 |
| 96127 | <1% | 418 | $149.60 | |
| 96160 | <1% | 418 | $130.19 | |
| 85018 | <1% | 42 | $9.86 | |
| G9920 | Screening performed and negative | 0% | 67 | $0.00 |
| 99177 | 0% | 79 | $0.00 | |
| 90633 | 0% | 14 | $0.00 | |
| 90723 | 0% | 16 | $0.00 | |
| 96161 | 0% | 80 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 31 | $0.00 |
| 90651 | 0% | 16 | $0.00 | |
| 90680 | 0% | 12 | $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.