Legaspi, Joseph

Legaspi, Joseph was paid $172K by Medicaid between Dec 2019 and Dec 2023, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.

33Billing provider infoLEGASPI, JOSEPH
SCHERERVILLE, IN 46375

33aNPI1104826676assigned 07/27/2005

33bProvider typeInternal Medicine Physician

28Total paid$172K

24GClaims3,321

24DCodes billed11

24AFirst – last monthDec 2019 – Dec 2023

Compared with peers

Next to other Internal Medicine Physician providers in Indiana

Rank by total paid#80 of 316

Median peer was paid$17K

This provider vs. median10×

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
2019	25	$1K
2020	666	$29K
2021	1,044	$55K
2022	1,211	$64K
2023	375	$23K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	58%	1,400	1,190	$100K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	15%	628	567	$25K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	434	375	$21K
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	8.1%	179	157	$14K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	4.5%	255	232	$8K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	44	44	$1K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	31	27	$1K
99000		<1%	48	25	$821.10
81002		<1%	183	136	$473.71
81025		<1%	98	60	$439.32
36415	Collection of venous blood by venipuncture	<1%	21	17	$4.10

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.