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LEGACY CLINICS LLC

Clinic/Center·PORTLAND, OR·NPI: 1902827272Share

Compared to Clinic/Center Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $48.8M is at the 50th percentile among 13 Clinic/Center providers.

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

Total Paid

$48.8M

$48,794,010

Total Claims

810K

Beneficiaries

687K

1.2 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$5.4M
+7%
2019
$5.8M
-2%
2020
$5.7M
+60%
2021
$9.1M
-13%
2022
$7.9M
+0%
2023
$8.0M
-14%
2024
$6.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 22% of total spending.

99213Top 25%

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

$10.9M

166K claims · 22.3%

Your Cost: $65.49/claim|Median: $37.81
1.7× median
99214Top 25%

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

$8.4M

101K claims · 17.1%

Your Cost: $82.64/claim|Median: $53.41
1.5× median
99203Top 25%

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

$4.9M

59K claims · 10.1%

Your Cost: $82.76/claim|Median: $57.85
1.4× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$4.2M

73K claims · 8.6%

Your Cost: $57.42/claim|Median: $35.30
1.6× median
99291Normal range

Critical care, first 30-74 minutes

$3.8M

28K claims · 7.7%

Your Cost: $132.19/claim|Median: $101.24
1.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$3.4M

82K claims · 6.9%

Your Cost: $41.04/claim|Median: $39.70
1.0× median
99204Top 25%

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

$1.5M

12K claims · 3.2%

Your Cost: $129.09/claim|Median: $84.03
1.5× median
99212Top 25%

Office/outpatient visit, low complexity

$1.5M

35K claims · 3.1%

Your Cost: $42.95/claim|Median: $25.06
1.7× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$1.5M

35K claims · 3.0%

Your Cost: $41.42/claim|Median: $23.99
1.7× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$1.4M

15K claims · 2.9%

Your Cost: $97.05/claim|Median: $58.55
1.7× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$774K

28K claims · 1.6%

Your Cost: $28.12/claim|Median: $36.70
0.8× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$699K

27K claims · 1.4%

Your Cost: $25.47/claim|Median: $33.72
0.8× median
99215Top 25%

Office/outpatient visit, high complexity

$557K

4,960 claims · 1.1%

Your Cost: $112.37/claim|Median: $74.09
1.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$553K

11K claims · 1.1%

Your Cost: $52.57/claim|Median: $40.11
1.3× median
76819Top 25%

Fetal biophysical profile with non-stress test

$492K

6,561 claims · 1.0%

Your Cost: $74.93/claim|Median: $49.45
1.5× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$429K

16K claims · 0.9%

Your Cost: $27.23/claim|Median: $28.46
1.0× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$421K

2,668 claims · 0.9%

Your Cost: $157.88/claim|Median: $106.79
1.5× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$333K

4,564 claims · 0.7%

Your Cost: $73.01/claim|Median: $65.64
1.1× median
99223Top 25%

Initial hospital care, per day, high complexity

$305K

2,575 claims · 0.6%

Your Cost: $118.30/claim|Median: $67.32
1.8× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$213K

3,484 claims · 0.4%

Your Cost: $61.04/claim|Median: $43.85
1.4× median
43239Normal range

Upper GI endoscopy with biopsy

$209K

2,747 claims · 0.4%

Your Cost: $76.20/claim|Median: $151.68
0.5× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$147K

1,863 claims · 0.3%

Your Cost: $78.88/claim|Median: $51.25
1.5× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$139K

1,482 claims · 0.3%

Your Cost: $93.51/claim|Median: $58.16
1.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$125K

892 claims · 0.3%

Your Cost: $140.51/claim|Median: $111.09
1.3× median
99231Normal range

Subsequent hospital care, per day, low complexity

$115K

5,370 claims · 0.2%

Your Cost: $21.49/claim|Median: $16.77
1.3× median
19303Normal range

$105K

136 claims · 0.2%

Your Cost: $771.44/claim|Median: $3,410.38
0.2× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$101K

1,068 claims · 0.2%

Your Cost: $94.87/claim|Median: $233.73
0.4× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$99K

184 claims · 0.2%

Your Cost: $535.93/claim|Median: $470.36
1.1× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$91K

467 claims · 0.2%

Your Cost: $194.39/claim|Median: $255.17
0.8× median
76813Top 25%

Ultrasound for fetal nuchal translucency measurement

$86K

873 claims · 0.2%

Your Cost: $98.71/claim|Median: $70.87
1.4× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$80K

805 claims · 0.2%

Your Cost: $99.12/claim|Median: $74.78
1.3× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$73K

2,137 claims · 0.2%

Your Cost: $34.38/claim|Median: $29.03
1.2× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$71K

796 claims · 0.1%

Your Cost: $88.72/claim|Median: $255.03
0.3× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$58K

683 claims · 0.1%

Your Cost: $85.21/claim|Median: $47.65
1.8× median
97110Top 25%

Therapeutic exercises, each 15 min

$55K

1,228 claims · 0.1%

Your Cost: $44.51/claim|Median: $24.49
1.8× median
81025Normal range

Urine pregnancy test

$54K

8,713 claims · 0.1%

Your Cost: $6.25/claim|Median: $4.81
1.3× median
45378Normal range

Colonoscopy, diagnostic

$50K

317 claims · 0.1%

Your Cost: $156.63/claim|Median: $225.49
0.7× median
99221Normal range

Initial hospital care, straightforward/low

$43K

755 claims · 0.1%

Your Cost: $56.60/claim|Median: $39.96
1.4× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$42K

2,075 claims · 0.1%

Your Cost: $20.44/claim|Median: $12.06
1.7× median
81003Normal range

Urinalysis, automated without microscopy

$40K

24K claims · 0.1%

Your Cost: $1.66/claim|Median: $1.48
1.1× median
73564Top 25%

$33K

1,183 claims · 0.1%

Your Cost: $28.28/claim|Median: $15.00
1.9× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$33K

944 claims · 0.1%

Your Cost: $34.85/claim|Median: $27.38
1.3× median
45380Normal range

Colonoscopy with biopsy

$30K

233 claims · 0.1%

Your Cost: $130.52/claim|Median: $200.68
0.7× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$30K

225 claims · 0.1%

Your Cost: $133.79/claim|Median: $100.62
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$29K

2,450 claims · 0.1%

Your Cost: $11.68/claim|Median: $11.48
1.0× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$28K

327 claims · 0.1%

Your Cost: $85.78/claim|Median: $91.47
0.9× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$26K

1,875 claims · 0.1%

Your Cost: $13.70/claim|Median: $33.85
0.4× median
73030Normal range

$24K

1,370 claims · 0.0%

Your Cost: $17.73/claim|Median: $10.94
1.6× median
95806Normal range

$24K

605 claims · 0.0%

Your Cost: $39.98/claim|Median: $64.51
0.6× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$24K

2,705 claims · 0.0%

Your Cost: $8.93/claim|Median: $9.70
0.9× median

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