Medicaid Provider Spending

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

LEGACY CLINICS LLC

NPI: 1902827272 · PORTLAND, OR 97210 · Vascular Surgery Physician · NPI assigned 07/22/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JENSEN, SARAH controls 20+ related entities in our dataset. Read more

$48.79M
Total Medicaid Paid
809,900
Total Claims
686,582
Beneficiaries
153
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJENSEN, SARAH (VP FINANCE)
NPI Enumeration Date07/22/2006

Related Entities

Other providers sharing the same authorized official: JENSEN, SARAH

ProviderCityStateTotal Paid
LEGACY EMANUEL HOSPITAL & HEALTH CENTER PORTLAND OR $64.24M
LEGACY EMANUEL HOSPITAL & HEALTH CENTER PORTLAND OR $50.80M
LEGACY SALMON CREEK HOSPITAL VANCOUVER WA $48.76M
LEGACY MOUNT HOOD MEDICAL CENTER GRESHAM OR $43.16M
SILVERTON HEALTH SILVERTON OR $29.18M
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER PORTLAND OR $18.33M
LEGACY EMANUEL HOSPITAL & HEALTH CENTER PORTLAND OR $17.03M
LEGACY MERIDIAN PARK HOSPITAL TUALATIN OR $13.28M
LEGACY SALMON CREEK HOSPITAL VANCOUVER WA $9.93M
SILVERTON HEALTH SILVERTON OR $9.72M
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER PORTLAND OR $3.90M
LEGACY MERIDIAN PARK HOSPITAL TUALATIN OR $2.38M
LEGACY EMANUEL HOSPITAL & HEALTH CENTER SAINT HELENS OR $1.78M
SILVERTON HEALTH SILVERTON OR $1.62M
LEGACY EMANUEL HOSPITAL & HEALTH CENTER PORTLAND OR $1.48M
SILVERTON HEALTH MOUNT ANGEL OR $1.18M
LEGACY CLINICS LLC SANDY OR $654K
LEGACY EMANUEL HOSPITAL & HEALTH CENTER SAINT HELENS OR $64K
REGIONAL DERMATOLOGY, LLC FESTUS MO $38K
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER PORTLAND OR $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 81,608 $5.42M
2019 90,489 $5.82M
2020 96,702 $5.68M
2021 196,361 $9.10M
2022 129,148 $7.94M
2023 117,686 $7.97M
2024 97,906 $6.85M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 165,866 157,282 $10.86M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 101,181 95,129 $8.36M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 59,285 57,011 $4.91M
99233 Prolong inpt eval add15 m 72,919 29,349 $4.19M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 28,418 12,864 $3.76M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 82,285 77,912 $3.38M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 11,999 11,587 $1.55M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 35,325 33,022 $1.52M
99232 Subsequent hospital care, per day, moderate complexity 35,305 15,866 $1.46M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 14,823 13,624 $1.44M
0002A 27,539 24,849 $774K
0001A 27,431 24,786 $699K
99215 Prolong outpt/office vis 4,960 4,631 $557K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 10,514 9,884 $553K
76819 Fetal biophysical profile; without non-stress testing 6,561 5,363 $492K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 15,737 15,291 $429K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,668 2,593 $421K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 4,564 4,419 $333K
99223 Prolong inpt eval add15 m 2,575 2,403 $305K
99239 Hospital discharge day management, more than 30 minutes 3,484 3,236 $213K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,747 2,612 $209K
99222 Initial hospital care, per day, moderate complexity 1,863 1,697 $147K
76801 1,482 1,434 $139K
99205 Prolong outpt/office vis 892 842 $125K
99231 Subsequent hospital care, per day, straightforward or low complexity 5,370 2,523 $115K
19303 136 83 $105K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,068 1,012 $101K
J0585 Injection, onabotulinumtoxina, 1 unit 184 118 $99K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 467 450 $91K
76813 873 847 $86K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 805 778 $80K
20610 2,137 1,645 $73K
95811 796 756 $71K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 683 648 $58K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,228 638 $55K
81025 8,713 8,436 $54K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 317 299 $50K
99221 755 683 $43K
73630 2,075 1,663 $42K
81003 24,070 23,038 $40K
73564 1,183 919 $33K
99201 944 889 $33K
45380 Colonoscopy, flexible; with biopsy, single or multiple 233 227 $30K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 225 224 $30K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,450 2,386 $29K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 327 317 $28K
0012A 1,875 1,485 $26K
73030 1,370 1,169 $24K
95806 605 585 $24K
93000 2,705 2,502 $24K
G0425 Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth 511 416 $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) 2,778 2,656 $23K
97597 1,507 1,017 $22K
0031A 544 512 $18K
76825 122 117 $18K
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth 271 236 $17K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 621 596 $17K
19318 19 12 $15K
59025 Fetal non-stress test 330 224 $13K
36415 Collection of venous blood by venipuncture 4,504 4,242 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 931 892 $13K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 95 90 $12K
87634 181 175 $11K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 253 240 $11K
25600 40 40 $11K
71046 Radiologic examination, chest; 2 views 646 624 $11K
0240U 126 123 $11K
73502 438 417 $10K
19350 22 14 $10K
90686 594 586 $9K
73110 407 358 $9K
0071A 214 214 $8K
77067 Screening mammography, bilateral, including computer-aided detection 120 119 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 656 341 $8K
0004A 233 222 $8K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 232 112 $8K
20611 144 114 $8K
93294 735 656 $8K
99282 Emergency department visit for the evaluation and management, low to moderate severity 221 159 $7K
73100 254 222 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 579 531 $7K
0072A 165 165 $7K
93016 516 479 $6K
0011A 1,036 736 $6K
99284 Emergency department visit for the evaluation and management, high severity 70 61 $6K
99308 Subsequent nursing facility care, per day, straightforward 422 286 $5K
99305 351 298 $5K
73560 197 177 $5K
93018 582 543 $5K
73562 248 222 $5K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,226 1,130 $4K
64615 41 39 $4K
76827 120 116 $4K
93296 418 369 $4K
99404 34 26 $4K
76820 91 64 $4K
93325 230 224 $4K
90832 Psychotherapy, 30 minutes with patient 72 37 $4K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 67 66 $4K
93922 187 165 $4K
99283 Emergency department visit for the evaluation and management, moderate severity 85 76 $4K
46600 52 51 $4K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 15 12 $3K
J1040 Injection, methylprednisolone acetate, 80 mg 318 288 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 54 53 $3K
0064A 101 94 $3K
77427 20 12 $3K
93298 154 146 $3K
99238 Hospital discharge day management, 30 minutes or less 68 64 $3K
73070 98 94 $3K
99442 57 51 $2K
95251 81 75 $2K
77014 64 24 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 180 173 $2K
90674 113 102 $2K
77063 Screening digital breast tomosynthesis, bilateral 120 119 $2K
73610 113 87 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 14 13 $2K
93454 13 12 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 12 12 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $2K
72081 57 54 $2K
99292 14 12 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 51 27 $1K
90673 30 29 $1K
73130 77 66 $1K
73140 52 48 $988.78
99183 25 13 $980.71
99309 Subsequent nursing facility care, per day, low to moderate complexity 61 37 $841.51
83036 Hemoglobin; glycosylated (A1C) 152 148 $792.08
73090 30 27 $766.24
96127 207 203 $756.71
90756 42 39 $728.27
91200 29 29 $624.89
99443 22 17 $581.05
97161 12 12 $581.04
93295 33 27 $567.94
0054A 15 15 $560.00
97530 Therapeutic activities, direct patient contact, each 15 minutes 13 12 $553.36
99459 29 28 $508.56
99441 15 14 $452.95
J1010 Injection, methylprednisolone acetate, 1 mg 27 26 $304.44
99406 16 15 $272.00
J1030 Injection, methylprednisolone acetate, 40 mg 40 38 $222.85
71045 Radiologic examination, chest; single view 14 12 $176.42
G0406 Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth 62 22 $153.50
J1885 Injection, ketorolac tromethamine, per 15 mg 132 128 $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 13 13 $48.16
90662 33 26 $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 93 91 $11.30
G0008 Administration of influenza virus vaccine 20 14 $2.84
91301 13 13 $0.00
91300 309 271 $0.00