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 $330K by Medicaid between Mar 2020 and Oct 2024, across 4 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.

33Billing provider infoLEGACY COMMUNITY HEALTH SERVICES, INC
BEAUMONT, TX 77702
33aNPI1184029969assigned 10/23/2014
28Total paid$330K
24GClaims1,801
24DCodes billed4
24AFirst – last monthMar 2020 – Oct 2024
Compared with peers

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

Rank by total paid#170 of 248
Median peer was paid$796K
This provider vs. median0.4×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
2020375$65K
2021295$47K
2022537$96K
2023437$80K
2024incomplete157$41K
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 97% 1,037 971 $321K
G0467 Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 2.1% 207 194 $7K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 484 461 $2K
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 0% 73 70 $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 officialHILLIARD, ROBERT (CEO)