Legacy Physician Group, P.C.
Legacy Physician Group, P.C. was paid $444K by Medicaid between Jul 2020 and Dec 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoLEGACY PHYSICIAN GROUP, P.C.
LANSING, MI 48912
LANSING, MI 48912
33aNPI1801800719assigned 07/28/2006
33bProvider typeSpecialist
28Total paid$444K
24GClaims12,560
24DCodes billed26
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Specialist providers in Michigan
Rank by total paid#52 of 181
Median peer was paid$94K
This provider vs. median4.7×
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 | |
|---|---|---|---|
| 2020 | 480 | $18K | |
| 2021 | 5,063 | $180K | |
| 2022 | 3,851 | $132K | |
| 2023 | 1,994 | $64K | |
| 2024incomplete | 1,172 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 25% | 1,612 | 1,468 | $111K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 25% | 1,809 | 1,806 | $111K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 16% | 778 | 773 | $70K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 14% | 1,895 | 1,732 | $60K |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | 5.4% | 58 | 58 | $24K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.5% | 406 | 390 | $20K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 2.3% | 94 | 93 | $10K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.5% | 182 | 177 | $7K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 74 | 71 | $6K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.3% | 84 | 84 | $6K |
| M0222 | Intravenous injection, bebtelovimab, includes injection and post administration monitoring | <1% | 15 | 15 | $4K |
| 87634 | <1% | 75 | 75 | $3K |
14 more codes
| 99001 | <1% | 243 | $3K | |
| 99000 | <1% | 340 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 178 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 89 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 117 | $1K |
| 81002 | <1% | 314 | $767.16 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 18 | $585.84 |
| 36415 | Collection of venous blood by venipuncture | <1% | 14 | $49.63 |
| 85018 | <1% | 14 | $22.07 | |
| 85014 | <1% | 14 | $22.06 | |
| 99072 | 0% | 3,195 | $0.00 | |
| 99051 | 0% | 878 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 13 | $0.00 |
| Q0244 | Injection, casirivimab and imdevimab, 1200 mg | 0% | 51 | $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.
From NPPES
Who's on the registration
Authorized officialFEDEWA, SUSAN (PRESIDENT)