Agency
Apex Community Care, INC
Apex Community Care, INC was paid $1.60M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 68% of everything it billed.
33Billing provider infoAPEX COMMUNITY CARE, INC
DANBURY, CT 06810
DANBURY, CT 06810
33aNPI1982037602assigned 08/16/2013
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$1.60M
24GClaims19,038
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Connecticut
Rank by total paid#13 of 130
Median peer was paid$139K
This provider vs. median11×
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 | 1,509 | $98K | |
| 2019 | 2,092 | $140K | |
| 2020 | 2,714 | $248K | |
| 2021 | 3,204 | $297K | |
| 2022 | 2,715 | $246K | |
| 2023 | 2,807 | $240K | |
| 2024incomplete | 3,997 | $328K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 68% | 11,732 | 4,464 | $1.09M |
| 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 | 19% | 3,010 | 1,409 | $302K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.0% | 1,497 | 698 | $96K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.7% | 859 | 544 | $43K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 2.0% | 1,494 | 350 | $32K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 238 | 188 | $15K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 134 | 117 | $13K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 37 | 36 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 19 | 18 | $3K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 18 | 17 | $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 officialSTEWART, ROBERTA (CHIEF EXECUTIVE OFFICER)