Amputation Prevention Experts Health Network (APEX) is a company owned by limb preservation experts and seasoned healthcare executives.Our business model offers an approach that is:
A partner who is willing to share risk
Academic focus on advances in healthcare to grow programs and heal patients
Frequent communication & an "open door" policy
LIMB PRESERVATION
CENTERS OF AMERICA
(A special member network)
Profit/Loss
The CPA includes analysis by experts of your billing, coding, collections, write-offs, response to denials, identification of underpayments, and general expenses
Work Flows
We examine staffing, job descriptions, roles, responsibilities, EMR documentation
Quality/Risk
This section includes analysis of quality improvement plans and metrics, patient, provider and staff satisfaction, outcomes, reports
Brick-and-Mortar Programs
Virtual Programs
The limb preservation centers of america®
Once a Center of Excellence has been established for limb preservation, the OBL and/or wound care center will become part of a network of centers, called the Limb Preservation Centers of America®. This designation indicates that the center meets certain criteria, including:
Miguel Sandoval is the President & CEO of Amputation Prevention Experts Health Network (APEX), bringing over 25 years of healthcare experience in managed care, business development, physician relations, and finance across hospitals, physician groups, and health plans. He co-founded and served as President of Paradigm Medical Management, a successful wound care and hyperbaric oxygen management company acquired in 2014. Miguel holds a B.A. in Economics from UC Santa Cruz and pursued graduate studies in Health Administration at USC.
Dr. Jain is the Chief Medical Officer of APEX and the founder of Limb Preservation Centers of America®. A board-certified vascular surgeon, he has been instrumental in the growth of office-based endovascular labs (OBLs) nationwide since 2007. He is a founding member of OEIS and a distinguished fellow of SVS. A widely published author, Dr. Jain wrote the authoritative textbook “Office-Based Endovascular Centers” (2019), serving as a key resource for developing and operating OBLs.
Diane Boone is the Executive Vice President & Chief Nursing Officer of APEX, bringing over 30 years of experience in wound care as both a clinician and administrator. A registered nurse with a master’s in healthcare management, she has worked in hospitals, public health, and case management. From 2003 to 2014, she served as CEO of Paradigm Medical Management, a wound care and hyperbaric medicine company she co-founded. Diane earned her M.S. in Healthcare Management from California State University, Los Angeles.
Dr. Armstrong is a tenured Professor of Surgery at USC with a Master’s in Tissue Repair and Wound Healing from the University of Wales and a PhD from the University of Manchester. He is the founder and co-director of the Southwestern Academic Limb Salvage Alliance (SALSA) and has authored over 575 peer-reviewed articles and 100+ books or chapters. As founding co-editor of the ADA’s Clinical Care of the Diabetic Foot and Director of USC’s NSF-funded Center to Stream Healthcare in Place (C2SHiP), he leads innovations at the intersection of consumer electronics and medical devices. Dr. Armstrong is a recognized international expert in wound care and limb salvage, holding numerous awards and leadership roles, including founding the American Limb Preservation Society and co-chairing the International Diabetic Foot Conference.
Dr. Lawrence A. Lavery, D.P.M., M.P.H. is a Professor of Plastic Surgery at UT Southwestern Medical Center and Medical Director of the Diabetic Limb Salvage (DLS) program at Parkland Memorial Hospital. His clinical and research focus includes diabetic foot complications, infections, and wound healing. Dr. Lavery earned his medical degree from Rosalind Franklin University and completed his residency at UT Health Science Center San Antonio, where he also obtained a Master’s in Public Health. He is board-certified by the American Board of Podiatric Surgery and a Fellow of the American College of Foot and Ankle Surgeons and the Royal College of Surgeons (Glasgow). Previously, he held faculty positions at Texas A&M, UT Health San Antonio, and Loyola University and served as a staff podiatrist at VA hospitals. A prolific researcher, Dr. Lavery has authored over 320 peer-reviewed publications and book chapters, with funding from the NIH, ADA, VA, and other leading institutions.
Dr. Lee C. Rogers, D.P.M. is an Assistant Professor at Western University of Health Sciences and an expert in diabetic foot complications and amputation prevention. He has authored 150+ publications, delivered 500+ lectures worldwide, and played a key role in developing Charcot foot treatment guidelines for the American Diabetes Association. A leader in podiatric medicine, Dr. Rogers co-founded the Toe-Flow Team and Global Vascular Guidelines and established the Certificate of Added Qualification in Amputation Prevention. Recognized as one of America’s Most Influential Podiatrists (2017), he is also a Fellow of the Royal College of Physicians and Surgeons (Glasgow). Dr. Rogers earned his D.P.M. from Des Moines University, completed his residency at Saint Vincent’s Catholic Medical Center (NYC), and a fellowship in limb salvage at Rosalind Franklin University. His work has been featured in The Wall Street Journal, Washington Post, and CBS News.
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