Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Durham › NPI 1104823400

Legacy Healthcare Services, INC.

Legacy Healthcare Services, INC. was paid $101K by Medicaid between Feb 2018 and Nov 2019, across 9 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 41% of everything it billed.

33Billing provider infoLEGACY HEALTHCARE SERVICES, INC.
DURHAM, NC 27705
33aNPI1104823400assigned 06/30/2005
33bProvider typeOccupational Therapist
28Total paid$101K
24GClaims36,537
24DCodes billed9
24AFirst – last monthFeb 2018 – Nov 2019
Compared with peers

Next to other Occupational Therapist providers in North Carolina

Rank by total paid#65 of 94
Median peer was paid$261K
This provider vs. median0.4×

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.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
201813,007$29K
201923,530$72K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 41% 6,934 821 $42K
97530 Therapeutic activities, direct patient contact, each 15 minutes 28% 17,328 2,175 $28K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 15% 4,562 539 $15K
97116 8.2% 4,779 678 $8K
97535 Self-care/home management training, each 15 minutes 7.7% 1,644 314 $8K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 272 151 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 414 228 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 0% 379 206 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 225 127 $0.00

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 officialWILSON, WILLIAM (CHIEF FINANCIAL OFFICER)
Same official

Other billing entities under WILSON, WILLIAM

Full network →
ProviderLocationPaid
Legacy Healthcare Services, INCRaleigh, NC$238K
Sequoyah Dental, PLLCFayetteville, AR$62K
Fairhope Dental Associates LLCFairhope, AL$60K
Community EMS DistrictGarrettsville, OH$11K
Legacy Healthcare Services INC.Denver, CO$0.00
Legacy Healthcare Services INCFranklin, IN$0.00

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