Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Beaumont › NPI 1932694122
Clinic

Legacy Community Health Services, INC

Legacy Community Health Services, INC was paid $250K by Medicaid between May 2020 and Sep 2024, across 4 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 89% of everything it billed.

33Billing provider infoLEGACY COMMUNITY HEALTH SERVICES, INC
BEAUMONT, TX 77701
33aNPI1932694122assigned 06/29/2018
28Total paid$250K
24GClaims1,153
24DCodes billed4
24AFirst – last monthMay 2020 – Sep 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Texas

Rank by total paid#179 of 248
Median peer was paid$796K
This provider vs. median0.3×

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 PALUSSEK, ROBERT controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
2020339$68K
2021431$89K
2022247$64K
202342$11K
2024incomplete94$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 89% 758 708 $223K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5.8% 211 203 $15K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.7% 172 170 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.4% 12 12 $4K

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 officialPALUSSEK, ROBERT (COO)
Same official

Other billing entities under PALUSSEK, ROBERT

Full network →

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