Behavioral
Legacy MD Medical Group INC
Legacy MD Medical Group INC was paid $395K by Medicaid between Jan 2024 and Nov 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoLEGACY MD MEDICAL GROUP INC
EL CENTRO, CA 92243
EL CENTRO, CA 92243
33aNPI1073210753assigned 02/13/2023
33bProvider typeBehavioral Analyst
28Total paid$395K
24GClaims20,079
24DCodes billed38
24AFirst – last monthJan 2024 – Nov 2024
Compared with peers
Next to other Behavioral Analyst providers in California
Rank by total paid#208 of 385
Median peer was paid$476K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2024incomplete | 20,079 | $395K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 48% | 4,047 | 3,441 | $191K |
| 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 | 20% | 1,469 | 1,388 | $80K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.8% | 447 | 446 | $39K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 8.5% | 261 | 261 | $34K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.1% | 153 | 151 | $16K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.3% | 69 | 69 | $9K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.2% | 317 | 303 | $9K |
| 76981 | 1.7% | 79 | 79 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 215 | 206 | $2K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 25 | 25 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 334 | 294 | $1K |
| 11721 | <1% | 63 | 62 | $1K |
26 more codes
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 28 | $1K |
| 90837 | Psychotherapy session, about an hour | <1% | 41 | $841.45 |
| 96127 | <1% | 170 | $816.74 | |
| 99307 | <1% | 36 | $594.23 | |
| 76536 | <1% | 12 | $553.81 | |
| 91200 | <1% | 15 | $338.95 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 15 | $270.00 |
| 99349 | <1% | 13 | $234.35 | |
| 76770 | <1% | 12 | $217.95 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 64 | $212.34 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 31 | $112.98 |
| 81002 | <1% | 147 | $15.10 | |
| 3078F | 0% | 1,485 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,212 | $0.00 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 0% | 82 | $0.00 |
| 3077F | 0% | 384 | $0.00 | |
| 2001F | 0% | 2,260 | $0.00 | |
| 3080F | 0% | 247 | $0.00 | |
| 3079F | 0% | 553 | $0.00 | |
| 3074F | 0% | 1,473 | $0.00 | |
| 3075F | 0% | 414 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 405 | $0.00 |
| 3008F | 0% | 2,257 | $0.00 | |
| 1170F | 0% | 87 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 70 | $0.00 |
| 1125F | 0% | 87 | $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 officialSTRONG, JOHN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Vo Medical Center | El Centro, CA | $14.08M |
| Greenwich Emergency Medical Service, INC. | Riverside, CT | $1.01M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.