Legacy Healthcare, INC
Legacy Healthcare, INC was paid $467K by Medicaid between Jan 2018 and Feb 2022, across 6 billing codes. Its largest line is G0299, Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes — 73% of everything it billed.
ALBUQUERQUE, NM 87120
Next to other Home Health Agency providers in New Mexico
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,116 | $120K | |
| 2019 | 1,197 | $196K | |
| 2020 | 430 | $39K | |
| 2021 | 1,580 | $100K | |
| 2022 | 180 | $13K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 73% | 2,918 | 752 | $343K |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | 21% | 891 | 306 | $100K |
| G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | 3.5% | 177 | 91 | $17K |
| S9131 | Physical therapy; in the home, per diem | <1% | 42 | 15 | $5K |
| S9123 | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) | <1% | 25 | 12 | $3K |
| Q5001 | Hospice or home health care provided in patient's home/residence | <1% | 450 | 189 | $1.69 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Legacy Healthcare INC. | Albuquerque, NM | $6.85M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.