Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Legacy Community Health Services, INC

Legacy Community Health Services, INC was paid $75K by Medicaid between Jan 2018 and Jun 2018, across 4 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 71% of everything it billed.

33Billing provider infoLEGACY COMMUNITY HEALTH SERVICES, INC
HOUSTON, TX 77047
33aNPI1093068348assigned 10/24/2012
28Total paid$75K
24GClaims343
24DCodes billed4
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Texas

Rank by total paid#208 of 248
Median peer was paid$796K
This provider vs. median0.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official PALUSSEK, ROBERT controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2018343$75K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 71% 188 174 $53K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 22% 59 59 $17K
99381 6.4% 18 17 $5K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 0% 78 74 $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 officialPALUSSEK, ROBERT (COO)
Same official

Other billing entities under PALUSSEK, ROBERT

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.