Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Legacy Clinics LLC

Legacy Clinics LLC was paid $48.79M by Medicaid between Jan 2018 and Dec 2024, across 153 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.

33Billing provider infoLEGACY CLINICS LLC
PORTLAND, OR 97210
33aNPI1902827272assigned 07/22/2006
28Total paid$48.79M
24GClaims809,900
24DCodes billed153
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Vascular Surgery Physician providers in Oregon

Rank by total paid#1 of 10
Median peer was paid$13K
This provider vs. median3,763×

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 JENSEN, SARAH controls 20+ 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
201881,608$5.42M
201990,489$5.82M
202096,702$5.68M
2021196,361$9.10M
2022129,148$7.94M
2023117,686$7.97M
2024incomplete97,906$6.85M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 165,866 157,282 $10.86M
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 17% 101,181 95,129 $8.36M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 10% 59,285 57,011 $4.91M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 8.6% 72,919 29,349 $4.19M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 7.7% 28,418 12,864 $3.76M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 6.9% 82,285 77,912 $3.38M
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 3.2% 11,999 11,587 $1.55M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.1% 35,325 33,022 $1.52M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 3.0% 35,305 15,866 $1.46M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2.9% 14,823 13,624 $1.44M
0002A 1.6% 27,539 24,849 $774K
0001A 1.4% 27,431 24,786 $699K
141 more codes
99215 Doctor's office visit, returning patient (complex) 1.1% 4,960 $557K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.1% 10,514 $553K
76819 Fetal biophysical profile; without non-stress testing 1.0% 6,561 $492K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 15,737 $429K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 2,668 $421K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 4,564 $333K
99223 Prolong inpt eval add15 m <1% 2,575 $305K
99239 Hospital discharge day management, more than 30 minutes <1% 3,484 $213K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 2,747 $209K
99222 Initial hospital care, per day, moderate complexity <1% 1,863 $147K
76801 <1% 1,482 $139K
99205 Prolong outpt/office vis <1% 892 $125K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 5,370 $115K
19303 <1% 136 $105K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 1,068 $101K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 184 $99K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 467 $91K
76813 <1% 873 $86K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 805 $80K
20610 <1% 2,137 $73K
95811 <1% 796 $71K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 683 $58K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 1,228 $55K
81025 <1% 8,713 $54K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 317 $50K
99221 <1% 755 $43K
73630 <1% 2,075 $42K
81003 <1% 24,070 $40K
73564 <1% 1,183 $33K
99201 <1% 944 $33K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 233 $30K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 225 $30K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,450 $29K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 327 $28K
0012A <1% 1,875 $26K
73030 <1% 1,370 $24K
95806 <1% 605 $24K
93000 <1% 2,705 $24K
G0425 Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth <1% 511 $24K
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) <1% 2,778 $23K
97597 <1% 1,507 $22K
0031A <1% 544 $18K
76825 <1% 122 $18K
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth <1% 271 $17K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 621 $17K
19318 <1% 19 $15K
59025 Fetal non-stress test <1% 330 $13K
36415 Collection of venous blood by venipuncture <1% 4,504 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 931 $13K
99285 Emergency room visit (most serious) <1% 95 $12K
87634 <1% 181 $11K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 253 $11K
25600 <1% 40 $11K
71046 Radiologic examination, chest; 2 views <1% 646 $11K
0240U <1% 126 $11K
73502 <1% 438 $10K
19350 <1% 22 $10K
90686 <1% 594 $9K
73110 <1% 407 $9K
0071A <1% 214 $8K
77067 Screening mammography, bilateral, including computer-aided detection <1% 120 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 656 $8K
0004A <1% 233 $8K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 232 $8K
20611 <1% 144 $8K
93294 <1% 735 $8K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 221 $7K
73100 <1% 254 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 579 $7K
0072A <1% 165 $7K
93016 <1% 516 $6K
0011A <1% 1,036 $6K
99284 Emergency room visit (serious) <1% 70 $6K
99308 Subsequent nursing facility care, per day, straightforward <1% 422 $5K
99305 <1% 351 $5K
73560 <1% 197 $5K
93018 <1% 582 $5K
73562 <1% 248 $5K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,226 $4K
64615 <1% 41 $4K
76827 <1% 120 $4K
93296 <1% 418 $4K
99404 <1% 34 $4K
76820 <1% 91 $4K
93325 <1% 230 $4K
90832 Psychotherapy session, about 30 minutes <1% 72 $4K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf <1% 67 $4K
93922 <1% 187 $4K
99283 Emergency room visit (moderate) <1% 85 $4K
46600 <1% 52 $4K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 15 $3K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 318 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 54 $3K
0064A <1% 101 $3K
77427 <1% 20 $3K
93298 <1% 154 $3K
99238 Hospital discharge day management, 30 minutes or less <1% 68 $3K
73070 <1% 98 $3K
99442 <1% 57 $2K
95251 <1% 81 $2K
77014 <1% 64 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 180 $2K
90674 <1% 113 $2K
77063 Screening digital breast tomosynthesis, bilateral <1% 120 $2K
73610 <1% 113 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 14 $2K
93454 <1% 13 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 12 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 12 $2K
72081 <1% 57 $2K
99292 <1% 14 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 51 $1K
90673 <1% 30 $1K
73130 <1% 77 $1K
73140 <1% 52 $988.78
99183 <1% 25 $980.71
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 61 $841.51
83036 Hemoglobin; glycosylated (A1C) <1% 152 $792.08
73090 <1% 30 $766.24
96127 <1% 207 $756.71
90756 <1% 42 $728.27
91200 <1% 29 $624.89
99443 <1% 22 $581.05
97161 <1% 12 $581.04
93295 <1% 33 $567.94
0054A <1% 15 $560.00
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 13 $553.36
99459 <1% 29 $508.56
99441 <1% 15 $452.95
J1010 Injection, methylprednisolone acetate, 1 mg <1% 27 $304.44
99406 <1% 16 $272.00
J1030 Injection, methylprednisolone acetate, 40 mg <1% 40 $222.85
71045 Radiologic examination, chest; single view <1% 14 $176.42
G0406 Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth <1% 62 $153.50
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 132 $99.49
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 13 $48.16
90662 <1% 33 $27.07
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 93 $11.30
G0008 Administration of influenza virus vaccine <1% 20 $2.84
91301 0% 13 $0.00
91300 0% 309 $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 officialJENSEN, SARAH (VP FINANCE)
Same official

Other billing entities under JENSEN, SARAH

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.