Clinic
Legacy Medical Care INC
Legacy Medical Care INC was paid $1.72M by Medicaid between Mar 2019 and Aug 2022, across 39 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoLEGACY MEDICAL CARE INC
ADDISON, IL 60101
ADDISON, IL 60101
33aNPI1902355316assigned 09/26/2016
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.72M
24GClaims31,153
24DCodes billed39
24AFirst – last monthMar 2019 – Aug 2022
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#136 of 296
Median peer was paid$1.43M
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2019 | 17,635 | $796K | |
| 2020 | 4,725 | $277K | |
| 2021 | 5,959 | $406K | |
| 2022 | 2,834 | $239K |
Box 24 · Service lines
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 | 99% | 11,986 | 8,636 | $1.70M |
| 90651 | <1% | 138 | 120 | $4K | |
| 90716 | <1% | 268 | 243 | $3K | |
| 90734 | <1% | 245 | 224 | $2K | |
| 90670 | <1% | 482 | 467 | $2K | |
| 90707 | <1% | 229 | 212 | $1K | |
| 90633 | <1% | 336 | 312 | $664.93 | |
| 90723 | <1% | 305 | 292 | $438.15 | |
| 90715 | <1% | 52 | 48 | $306.94 | |
| 90696 | <1% | 54 | 53 | $268.16 | |
| 90700 | <1% | 77 | 70 | $188.08 | |
| 90648 | <1% | 477 | 460 | $169.10 |
27 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 907 | $155.74 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 841 | $153.68 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 606 | $139.04 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 3,954 | $93.12 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,878 | $74.17 |
| 90680 | <1% | 206 | $38.40 | |
| 96127 | <1% | 709 | $14.60 | |
| 99173 | <1% | 1,159 | $7.45 | |
| 86580 | <1% | 152 | $4.00 | |
| 0502F | 0% | 1,226 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 584 | $0.00 |
| 81002 | 0% | 303 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 1,889 | $0.00 |
| 96160 | 0% | 224 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 12 | $0.00 |
| H1000 | Prenatal care, at-risk assessment | 0% | 183 | $0.00 |
| 81025 | 0% | 81 | $0.00 | |
| 97803 | 0% | 49 | $0.00 | |
| 90649 | 0% | 15 | $0.00 | |
| 82962 | 0% | 124 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 99 | $0.00 |
| 85018 | 0% | 123 | $0.00 | |
| 90686 | 0% | 879 | $0.00 | |
| 97802 | 0% | 75 | $0.00 | |
| 99058 | 0% | 166 | $0.00 | |
| 90620 | 0% | 47 | $0.00 | |
| 99381 | 0% | 13 | $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 officialDONORIO, MELISSA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Legacy Medical Care INC | Hanover Park, IL | $1.67M |
| Legacy Medical Care INC | East Dundee, IL | $1.55M |
| Legacy Medical Care INC | West Chicago, IL | $7K |
| Legacy Medical Care INC | Mount Prospect, IL | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.