Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

APEX PRIMARY CARE INC

Home Health·MCALLEN, TX·NPI: 1144263328Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $61.1M is at the below 25th percentile among 322 Home Health providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$61.1M

$61,051,572

Total Claims

1.3M

Beneficiaries

49K

26.3 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$3.6M
+16%
2019
$4.2M
+50%
2020
$6.2M
+115%
2021
$13.4M
-1%
2022
$13.3M
-25%
2023
$10.0M
+4%
2024
$10.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 95% of total spending.

S5125Normal range

Attendant care services, per 15 min

$58.1M

1.2M claims · 95.2%

Your Cost: $48.87/claim|Median: $82.34
0.6× median
T1019Normal range

Personal care services, per 15 min

$2.3M

86K claims · 3.8%

Your Cost: $27.17/claim|Median: $82.47
0.3× median
T1005Normal range

Respite care services, per 15 minutes

$578K

16K claims · 0.9%

Your Cost: $35.23/claim|Median: $71.40
0.5× median
S9110Top 25%

$14K

68 claims · 0.0%

Your Cost: $202.84/claim|Median: $161.92
1.3× median