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LEGACY MEDICAL CARE INC

Clinic/Center, Federally Qualified Health Center (FQHC)·ARLINGTON HEIGHTS, IL·NPI: 1497181697Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $42.6M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$42.6M

$42,587,101

Total Claims

808K

Beneficiaries

588K

1.4 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$14.2M
-76%
2019
$3.4M
+25%
2020
$4.2M
+6%
2021
$4.5M
+15%
2022
$5.1M
+8%
2023
$5.5M
+2%
2024
$5.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 99% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$42.1M

285K claims · 99.0%

Your Cost: $147.77/claim|Median: $121.16
1.2× median
90651Normal range

HPV vaccine, 9-valent

$99K

8,853 claims · 0.2%

Your Cost: $11.18/claim|Median: $8.93
1.3× median
90734Normal range

$86K

9,558 claims · 0.2%

Your Cost: $8.95/claim|Median: $6.40
1.4× median
90620Normal range

$83K

7,588 claims · 0.2%

Your Cost: $11.00/claim|Median: $6.49
1.7× median
90716Normal range

$36K

4,123 claims · 0.1%

Your Cost: $8.85/claim|Median: $6.18
1.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$30K

19K claims · 0.1%

Your Cost: $1.52/claim|Median: $7.18
0.2× median
90670Normal range

$22K

9,142 claims · 0.1%

Your Cost: $2.46/claim|Median: $5.94
0.4× median
90707Normal range

MMR vaccine

$20K

3,865 claims · 0.0%

Your Cost: $5.11/claim|Median: $5.76
0.9× median
90696Normal range

DTaP-IPV vaccine

$12K

3,661 claims · 0.0%

Your Cost: $3.22/claim|Median: $5.95
0.5× median
90715Normal range

Tdap vaccine

$11K

4,673 claims · 0.0%

Your Cost: $2.27/claim|Median: $10.32
0.2× median
90633Normal range

$9K

6,915 claims · 0.0%

Your Cost: $1.31/claim|Median: $3.56
0.4× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$8K

132K claims · 0.0%

Your Cost: $0.06/claim|Median: $37.81
0.0× median
90723Normal range

DTaP-HepB-IPV vaccine

$4K

7,953 claims · 0.0%

Your Cost: $0.48/claim|Median: $5.78
0.1× median
90700Normal range

$3K

2,860 claims · 0.0%

Your Cost: $0.92/claim|Median: $4.56
0.2× median
90648Normal range

$2K

10K claims · 0.0%

Your Cost: $0.24/claim|Median: $4.08
0.1× median
90680Normal range

$2K

6,389 claims · 0.0%

Your Cost: $0.37/claim|Median: $5.58
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$2K

33K claims · 0.0%

Your Cost: $0.06/claim|Median: $25.06
0.0× median
0500FNormal range

$2K

3,551 claims · 0.0%

Your Cost: $0.49/claim|Median: $39.34
0.0× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$1K

6,274 claims · 0.0%

Your Cost: $0.20/claim|Median: $53.41
0.0× median
0071ATop 25%

$1K

27 claims · 0.0%

Your Cost: $42.14/claim|Median: $38.71
1.1× median
0502FNormal range

$1K

17K claims · 0.0%

Your Cost: $0.06/claim|Median: $44.10
0.0× median
0503FNormal range

$825

767 claims · 0.0%

Your Cost: $1.08/claim|Median: $10.68
0.1× median
90744Normal range

$580

193 claims · 0.0%

Your Cost: $3.00/claim|Median: $5.00
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$475

21K claims · 0.0%

Your Cost: $0.02/claim|Median: $80.15
0.0× median
96110Normal range

Developmental screening, per standardized instrument

$442

32K claims · 0.0%

Your Cost: $0.01/claim|Median: $9.10
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$409

4,001 claims · 0.0%

Your Cost: $0.10/claim|Median: $72.71
0.0× median
G2012Normal range

Brief communication technology-based service

$296

38 claims · 0.0%

Your Cost: $7.79/claim|Median: $8.79
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$283

12K claims · 0.0%

Your Cost: $0.02/claim|Median: $69.35
0.0× median
90713Normal range

Poliovirus vaccine (IPV)

$279

127 claims · 0.0%

Your Cost: $2.19/claim|Median: $5.41
0.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$278

16K claims · 0.0%

Your Cost: $0.02/claim|Median: $75.18
0.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$219

15K claims · 0.0%

Your Cost: $0.01/claim|Median: $3.67
0.0× median
90710Normal range

MMRV vaccine

$179

2,810 claims · 0.0%

Your Cost: $0.06/claim|Median: $7.00
0.0× median
99173Normal range

$179

33K claims · 0.0%

Your Cost: $0.01/claim|Median: $2.16
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$154

22K claims · 0.0%

Your Cost: $0.01/claim|Median: $74.82
0.0× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$142

1,974 claims · 0.0%

Your Cost: $0.07/claim|Median: $73.46
0.0× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$72

530 claims · 0.0%

Your Cost: $0.14/claim|Median: $74.78
0.0× median
76819Normal range

Fetal biophysical profile with non-stress test

$31

210 claims · 0.0%

Your Cost: $0.15/claim|Median: $49.45
0.0× median
96160Normal range

Patient-focused health risk assessment

$29

1,582 claims · 0.0%

Your Cost: $0.02/claim|Median: $2.10
0.0× median
86580Normal range

Tuberculosis (TB) skin test

$2

4,826 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.46
0.0× median
94664Normal range

$1

7,061 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.88
0.0× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$0

757 claims · 0.0%

Your Cost: $0.00/claim|Median: $76.22
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$0

3,176 claims · 0.0%

Your Cost: $0.00/claim|Median: $81.92
94640Normal range

Pressurized or nonpressurized inhalation treatment

$0

1,704 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.88
90656Normal range

$0

1,635 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.67
90671Normal range

$0

78 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.59
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$0

227 claims · 0.0%

Your Cost: $0.00/claim|Median: $84.03
99058Normal range

$0

20K claims · 0.0%

Your Cost: $0.00/claim|Median: $15.38
69210Normal range

$0

40 claims · 0.0%

Your Cost: $0.00/claim|Median: $21.74
H1000Normal range

Prenatal care, at-risk assessment

$0

3,430 claims · 0.0%

Your Cost: $0.00/claim|Median: $50.36
99386Normal range

Preventive visit, new patient, 40-64 yr

$0

326 claims · 0.0%

Your Cost: $0.00/claim|Median: $87.82

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