Physician
Apex Pediatrics INC
Apex Pediatrics INC was paid $509K by Medicaid between Jan 2018 and Nov 2024, across 60 billing codes. Its largest line is 96156, — 36% of everything it billed.
33Billing provider infoAPEX PEDIATRICS INC
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
33aNPI1982987095assigned 09/25/2011
33bProvider typePediatrics Physician
28Total paid$509K
24GClaims53,893
24DCodes billed60
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#220 of 1,490
Median peer was paid$15K
This provider vs. median34×
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 | 4,176 | $12K | |
| 2019 | 3,832 | $19K | |
| 2020 | 733 | $5K | |
| 2021 | 10,201 | $113K | |
| 2022 | 7,186 | $79K | |
| 2023 | 12,897 | $113K | |
| 2024incomplete | 14,868 | $168K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 36% | 6,317 | 6,306 | $185K | |
| 97802 | 22% | 3,827 | 3,821 | $110K | |
| 92551 | 10% | 5,545 | 5,513 | $52K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.4% | 7,803 | 7,098 | $38K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.1% | 789 | 771 | $21K |
| 97803 | 3.5% | 714 | 713 | $18K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.5% | 2,641 | 2,613 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 2,134 | 2,119 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 1,960 | 1,813 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 2,036 | 1,766 | $9K |
| G9920 | Screening performed and negative | 1.4% | 6,248 | 6,228 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 678 | 676 | $3K |
48 more codes
| 99383 | <1% | 233 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,823 | $3K |
| 99381 | <1% | 51 | $3K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 13 | $3K |
| 99384 | <1% | 165 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 64 | $2K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 861 | $2K |
| 99382 | <1% | 116 | $2K | |
| 99460 | <1% | 49 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 90 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 19 | $1K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 884 | $1K |
| 93325 | <1% | 13 | $1K | |
| 93320 | <1% | 13 | $1K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 31 | $840.88 |
| 93000 | <1% | 15 | $538.95 | |
| 99000 | <1% | 1,323 | $536.16 | |
| 96160 | <1% | 124 | $370.00 | |
| 99173 | <1% | 744 | $307.77 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $251.87 |
| 85018 | <1% | 1,450 | $218.62 | |
| 87492 | <1% | 63 | $200.36 | |
| 90670 | <1% | 243 | $189.05 | |
| 99401 | <1% | 514 | $162.81 | |
| H0049 | Alcohol and/or drug screening | <1% | 826 | $156.97 |
| H0001 | Alcohol and/or drug assessment | <1% | 871 | $140.00 |
| 99188 | <1% | 129 | $78.46 | |
| 96127 | <1% | 202 | $57.12 | |
| 83655 | <1% | 366 | $40.52 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 735 | $30.40 |
| 90686 | 0% | 274 | $0.00 | |
| 90647 | 0% | 127 | $0.00 | |
| 94760 | 0% | 24 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 90651 | 0% | 25 | $0.00 | |
| 87430 | 0% | 14 | $0.00 | |
| 86580 | 0% | 13 | $0.00 | |
| 90688 | 0% | 20 | $0.00 | |
| 90700 | 0% | 232 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 90633 | 0% | 197 | $0.00 | |
| 81003 | 0% | 14 | $0.00 | |
| 90734 | 0% | 13 | $0.00 | |
| 90713 | 0% | 105 | $0.00 | |
| 86703 | 0% | 36 | $0.00 | |
| 90710 | 0% | 14 | $0.00 | |
| 90648 | 0% | 12 | $0.00 | |
| 90685 | 0% | 15 | $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 officialWILDISH, STEVE (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Health to Home, INC | Riverside, CA | $19K |
| Apogee Health Solutions LPC | Riverside, CA | $14K |
| Health to Home Central INC | Riverside, CA | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.