Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LEGEND INTERNAL MEDICINE, URGENT CARE & DIAGNOSTIC

NPI: 1619003886 · FORT WORTH, TX 76104 · Primary Care Clinic/Center · NPI assigned 02/24/2007

$117K
Total Medicaid Paid
11,527
Total Claims
10,229
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialUNINI, FIDELIS (MEDICAL DIRECTOR)
NPI Enumeration Date02/24/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 125 $990.00
2019 215 $1K
2020 476 $8K
2021 6,040 $40K
2022 3,687 $34K
2023 651 $25K
2024 333 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,506 2,281 $97K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 456 414 $14K
90674 90 88 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 209 160 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 94 67 $649.14
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $535.23
90688 21 21 $292.62
93000 12 12 $103.41
90694 69 62 $25.55
80053 Comprehensive metabolic panel 12 12 $5.52
3074F 681 602 $0.00
3079F 285 258 $0.00
3008F 1,442 1,245 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 13 13 $0.00
1126F 938 832 $0.00
1125F 793 690 $0.00
G0008 Administration of influenza virus vaccine 87 85 $0.00
1170F 44 40 $0.00
36415 Collection of venous blood by venipuncture 12 12 $0.00
3075F 162 149 $0.00
1111F 15 13 $0.00
3080F 17 16 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 33 30 $0.00
99386 24 12 $0.00
1034F 13 13 $0.00
1157F 21 19 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 71 66 $0.00
3077F 410 369 $0.00
3078F 915 807 $0.00
1160F 989 875 $0.00
1159F 996 879 $0.00
99401 44 41 $0.00
G0444 Annual depression screening, 5 to 15 minutes 40 33 $0.00