Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Indiantown › NPI 1568439685
Behavioral

Legacy Behavioral Health Center INC

Legacy Behavioral Health Center INC was paid $44.81M by Medicaid between Feb 2018 and Feb 2024, across 11 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 54% of everything it billed.

33Billing provider infoLEGACY BEHAVIORAL HEALTH CENTER INC
INDIANTOWN, FL 34956
33aNPI1568439685assigned 03/07/2006
33bProvider typeClinical Social Worker
28Total paid$44.81M
24GClaims737,065
24DCodes billed11
24AFirst – last monthFeb 2018 – Feb 2024
Compared with peers

Next to other Clinical Social Worker providers in Florida

Rank by total paid#1 of 190
Median peer was paid$11K
This provider vs. median3,937×

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$500K$1.0M$1.5M2018201920202021202220232024
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
201812,810$647K
2019183,203$9.92M
2020216,685$11.29M
2021185,966$13.12M
2022107,760$7.62M
202330,516$2.21M
2024incomplete125$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2019 Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes 54% 319,790 125,524 $24.13M
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 21% 155,787 41,731 $9.60M
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 8.6% 113,191 73,408 $3.87M
H0032 Mental health service plan development by non-physician 6.1% 46,723 45,543 $2.74M
H2000 Comprehensive multidisciplinary evaluation 3.9% 9,991 9,598 $1.74M
H0031 Mental health assessment, by non-physician 3.5% 62,154 56,357 $1.56M
H2017 Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes 1.7% 12,393 1,245 $766K
H2010 Comprehensive medication services, per 15 minutes <1% 15,608 15,222 $402K
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 <1% 1,017 738 $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 <1% 342 237 $729.90
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 69 54 $14.61

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.