Legacy Community Health Services, INC
Legacy Community Health Services, INC was paid $451K by Medicaid between Mar 2020 and Aug 2024, across 12 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 79% of everything it billed.
BAYTOWN, TX 77521
Next to other Federally Qualified Health Center (FQHC) providers in Texas
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 476 | $86K | |
| 2021 | 1,103 | $122K | |
| 2022 | 964 | $101K | |
| 2023 | 858 | $118K | |
| 2024incomplete | 161 | $23K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 79% | 1,174 | 1,102 | $358K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.1% | 1,059 | 1,005 | $32K |
| 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 | 6.2% | 814 | 732 | $28K |
| D0999 | Unspecified diagnostic procedure, by report | 6.0% | 115 | 106 | $27K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | 12 | $4K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 131 | 114 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 17 | 17 | $0.00 |
| 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% | 177 | 172 | $0.00 |
| D0602 | 0% | 13 | 13 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 16 | 16 | $0.00 |
| D0601 | 0% | 18 | 18 | $0.00 | |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 16 | 16 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Legacy Community Health Services, INC | Houston, TX | $406.51M |
| Legacy Community Health Services, INC | Houston, TX | $796K |
| Legacy Community Health Services, INC | Houston, TX | $400K |
| Legacy Community Health Services, INC | Houston, TX | $361K |
| Legacy Community Health Services, INC | Houston, TX | $300K |
| Legacy Community Health Services, INC | Beaumont, TX | $250K |
| Legacy Community Health Services, INC. | Deer Park, TX | $163K |
| Legacy Community Health Services, INC | Houston, TX | $126K |
| Legacy Community Health Services, INC. | Houston, TX | $117K |
| Legacy Community Health Services, INC | Houston, TX | $75K |
| Legacy Community Health Services, INC | Houston, TX | $48K |
| Legacy Community Health Services, INC | Houston, TX | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.