Agency
Legacy Hospice Cares LLC
Legacy Hospice Cares LLC was paid $3.27M by Medicaid between May 2019 and Jun 2024, across 7 billing codes. Its largest line is T2046, Hospice long term care, room and board only; per diem — 100% of everything it billed.
33Billing provider infoLEGACY HOSPICE CARES LLC
ELM GROVE, WI 53122
ELM GROVE, WI 53122
33aNPI1184136939assigned 11/02/2017
33bProvider typeCommunity Based Hospice Care Agency
28Total paid$3.27M
24GClaims2,315
24DCodes billed7
24AFirst – last monthMay 2019 – Jun 2024
Compared with peers
Next to other Community Based Hospice Care Agency providers in Wisconsin
Rank by total paid#14 of 52
Median peer was paid$1.03M
This provider vs. median3.2×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 104 | $169K | |
| 2020 | 189 | $347K | |
| 2021 | 181 | $365K | |
| 2022 | 1,516 | $1.09M | |
| 2023 | 218 | $856K | |
| 2024incomplete | 107 | $442K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2046 | Hospice long term care, room and board only; per diem | 100% | 1,115 | 820 | $3.27M |
| Q5004 | Hospice care provided in skilled nursing facility (snf) | 0% | 49 | 46 | $0.00 |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 0% | 486 | 62 | $0.00 |
| Q5002 | Hospice or home health care provided in assisted living facility | 0% | 16 | 16 | $0.00 |
| G0155 | Services of clinical social worker in home health or hospice settings, each 15 minutes | 0% | 123 | 61 | $0.00 |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 0% | 425 | 62 | $0.00 |
| G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | 0% | 101 | 30 | $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 officialJOHNSON, KARIN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Pediatrix Medical Group Neonatology and Pediatric Intensive Care Speci | Sunrise, FL | $1.38M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.