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

Legacy Behavioral Health Center INC

Legacy Behavioral Health Center INC was paid $1.64M by Medicaid between Oct 2021 and Mar 2024, across 6 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 79% of everything it billed.

33Billing provider infoLEGACY BEHAVIORAL HEALTH CENTER INC
VERO BEACH, FL 32960
33aNPI1184391674assigned 08/24/2021
28Total paid$1.64M
24GClaims24,259
24DCodes billed6
24AFirst – last monthOct 2021 – Mar 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in Florida

Rank by total paid#169 of 659
Median peer was paid$392K
This provider vs. median4.2×

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 PAJARES, ALICIA controls 15+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
2021125$6K
202211,726$784K
202311,696$797K
2024incomplete712$54K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2019 Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes 79% 15,643 5,650 $1.29M
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 8.0% 3,742 2,367 $131K
H0032 Mental health service plan development by non-physician 7.8% 1,985 1,967 $129K
H0031 Mental health assessment, by non-physician 4.1% 2,621 2,130 $67K
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 1.2% 252 101 $20K
H2000 Comprehensive multidisciplinary evaluation <1% 16 16 $3K

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 officialPAJARES, ALICIA (PRESIDENT)
Same official

Other billing entities under PAJARES, ALICIA

Full network →

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