Physician
Legacy Primary Care, PLLC
Legacy Primary Care, PLLC was paid $12K by Medicaid between Mar 2022 and Sep 2023, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
33Billing provider infoLEGACY PRIMARY CARE, PLLC
SHERMAN, TX 75090
SHERMAN, TX 75090
33aNPI1255907473assigned 05/28/2021
33bProvider typeFamily Medicine Physician
28Total paid$12K
24GClaims372
24DCodes billed2
24AFirst – last monthMar 2022 – Sep 2023
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#745 of 1,204
Median peer was paid$31K
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
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 | |
|---|---|---|---|
| 2022 | 234 | $8K | |
| 2023 | 138 | $5K |
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 | 68% | 274 | 247 | $8K |
| 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 | 32% | 98 | 89 | $4K |
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 officialHUGHES, ANDREA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Loranger Family Chiropractic Health Center, P.C. | Dexter, MI | $724.78 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.