Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Legacy Diagnostic Lab LLC

Legacy Diagnostic Lab LLC was paid $67K by Medicaid between Mar 2021 and Aug 2022, across 13 billing codes. Its largest line is U0003, Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r — 71% of everything it billed.

33Billing provider infoLEGACY DIAGNOSTIC LAB LLC
RICHARDSON, TX 75080
33aNPI1114539046assigned 08/21/2020
28Total paid$67K
24GClaims2,541
24DCodes billed13
24AFirst – last monthMar 2021 – Aug 2022
Compared with peers

Next to other Clinical Medical Laboratory providers in Texas

Rank by total paid#165 of 436
Median peer was paid$17K
This provider vs. median3.9×

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$10K$20K$30K2018201920202021202220232024
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
20211,277$30K
20221,264$37K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 71% 905 738 $48K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 23% 905 738 $15K
81238 1.5% 52 49 $1K
81405 1.1% 112 62 $759.39
81406 1.1% 112 62 $712.86
81404 1.0% 112 62 $692.58
81161 <1% 45 42 $468.72
81403 <1% 52 49 $311.14
81407 0% 52 46 $0.00
81413 0% 45 42 $0.00
81411 0% 45 42 $0.00
81414 0% 48 46 $0.00
1 more codes
81408 0% 56 $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 officialALBDOUR, OTHMAN (OWNER)