Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Colorado for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Colorado only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Colorado (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Apex Physical Medicine And Rehabilitation Professional LLC (NPI 1326229287)

Field	Value
Entity Type	Organization
Organization	Apex Physical Medicine And Rehabilitation Professional LLC
Address	3910 S Carefree Cir Ste F
City	Colorado Springs
State	CO
ZIP	80917
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	November 20, 2007

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	29,930	$90	$2.6M
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	8,660	$100	$849K
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	4,790	$90	$440.5K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	3,020	$50	$142.1K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	2,040	$60	$122.1K
J3490	Unclassified drugs	550	$210	$114.4K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	4,810	$20	$101.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,760	$40	$65.1K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	690	$70	$50.3K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	600	$30	$14.9K

Showing 1–10 of 31

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.

Claims Volume vs. Colorado Distribution

Apex Physical Medicine And Rehabilitation Professional LLC — 5 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	9	40	900	$170	$1.5M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	649	2,520	330	$100	$352K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	45	2,630	430	$90	$268.2K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	6	10	170	$30	$132.7K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	2	50	140	$160	$130.1K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	2	40	180	$110	$109.7K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	16	90	800	$30	$103.7K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	356	410	890	$40	$101.6K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	146	990	90	$120	$57.9K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	22	60	180	$80	$33.2K

Showing 1–10 of 31

Related Providers

Other providers that share a Tax Identification Number (TIN) with Apex Physical Medicine And Rehabilitation Professional LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Bissell	CO	Pain Medicine Physician	$609.7K	$0
Rodney Muhammad	CO	Adult Medicine Physician	$64.6K	$11.9K
Shannon Graves	CO	Psychiatric/Mental Health Nurse Practitioner	$60.7K	$0
Tracey Putz	CO	Nurse Practitioner	$31.5K	$0

Nearby Providers

Other providers in the same ZIP code as Apex Physical Medicine And Rehabilitation Professional LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$21.7M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$16.9M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$7.2M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$6.6M
Child Development Center Of Colorado Springs, Inc.	CO	Prosthetic/Orthotic Supplier	$0	$5.2M
Ambulnz Co, LLC	CO	Ambulance	$717.3K	$3.7M
Austinbluffs Dental Prof. LLC	CO	General Practice Dentistry	$0	$4.3M
Smile Two Professionals	CO	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$3.9M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$3.8M
Colorado Springs Oral And Facial Surgery	CO	Oral and Maxillofacial Surgery (Dentist)	$0	$3.6M

Apex Physical Medicine And Rehabilitation Professional LLC — Billing Profile & Reimbursement Data

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Apex Physical Medicine And Rehabilitation Professional LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References