Agency
Legacy Health and Wellness, LLC
Legacy Health and Wellness, LLC was paid $3.32M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 55% of everything it billed.
33Billing provider infoLEGACY HEALTH AND WELLNESS, LLC
LAS VEGAS, NV 89128
LAS VEGAS, NV 89128
33aNPI1457600645assigned 09/03/2012
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$3.32M
24GClaims35,837
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Nevada
Rank by total paid#31 of 358
Median peer was paid$382K
This provider vs. median8.7×
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 | |
|---|---|---|---|
| 2018 | 5,287 | $389K | |
| 2019 | 6,562 | $618K | |
| 2020 | 5,110 | $493K | |
| 2021 | 4,888 | $499K | |
| 2022 | 5,143 | $510K | |
| 2023 | 4,425 | $407K | |
| 2024incomplete | 4,422 | $406K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 55% | 18,213 | 10,558 | $1.83M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 27% | 9,445 | 2,757 | $892K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 6.6% | 1,750 | 1,673 | $220K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 6.2% | 2,832 | 853 | $205K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.9% | 1,862 | 1,457 | $128K |
| H2014 | Skills training and development, per 15 minutes | <1% | 753 | 291 | $26K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 628 | 605 | $16K |
| T1016 | Case management, each 15 minutes | <1% | 341 | 169 | $4K |
| H0031 | Mental health assessment, by non-physician | <1% | 13 | 13 | $2K |
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 officialGROSSA, ABBY (CFO)
| Provider | Location | Paid |
|---|---|---|
| Fundamental Behavioral Services LLC | Las Vegas, NV | $1.77M |
| Nevada Behavioral Health Systems of Reno LLC | Reno, NV | $703K |
| Legacy Behavioral Health Solutions, LLC | Reno, NV | $582K |
| Northern Nevada Behavioral Health Systems LLC | Reno, NV | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.