Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Legacy Medical PLLC

Legacy Medical PLLC was paid $77K by Medicaid between Jul 2019 and Jan 2020, across 11 billing codes. Its largest line is 93890, — 22% of everything it billed.

33Billing provider infoLEGACY MEDICAL PLLC
JACKSON HTS, NY 11372
33aNPI1457609653assigned 08/17/2012
33bProvider typeNeurology Physician
28Total paid$77K
24GClaims571
24DCodes billed11
24AFirst – last monthJul 2019 – Jan 2020
Compared with peers

Next to other Neurology Physician providers in New York

Rank by total paid#137 of 623
Median peer was paid$9K
This provider vs. median8.2×

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

$0$20K$40K$60K2018201920202021202220232024
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
2019277$32K
2020294$45K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93890 22% 75 75 $17K
93886 22% 75 75 $17K
93892 21% 75 75 $16K
92546 7.3% 62 62 $6K
92540 6.9% 62 62 $5K
93923 4.4% 30 30 $3K
92548 4.3% 56 56 $3K
95923 4.1% 30 30 $3K
95912 2.7% 14 12 $2K
92537 2.7% 62 62 $2K
95921 2.6% 30 30 $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 officialBOPPANA, MADHU (OWNER)