Legacy Vein Center PLLC

Legacy Vein Center PLLC was paid $1.26M by Medicaid between Aug 2018 and Nov 2024, across 12 billing codes. Its largest line is 36475, — 67% of everything it billed.

33Billing provider infoLEGACY VEIN CENTER PLLC
JOHNSON CITY, TN 37604

33aNPI1477972933assigned 04/14/2014

33bProvider typeDurable Medical Equipment & Medical Supplies

28Total paid$1.26M

24GClaims9,890

24DCodes billed12

24AFirst – last monthAug 2018 – Nov 2024

Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Tennessee

Rank by total paid#51 of 296

Median peer was paid$15K

This provider vs. median82×

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	62	$3K
2019	632	$36K
2020	1,249	$149K
2021	1,871	$232K
2022	2,039	$335K
2023	2,301	$291K
2024incomplete	1,736	$213K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
36475		67%	1,288	742	$838K
93971		14%	3,466	2,447	$180K
93970		14%	2,506	2,216	$175K
76970		1.6%	906	612	$20K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.5%	761	666	$19K
76942		<1%	409	263	$9K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	138	122	$5K
36470		<1%	120	81	$5K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	<1%	165	146	$5K
36471		<1%	40	25	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	27	27	$651.48
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	64	55	$535.51

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 officialREECE, GINGER (DIRECTOR OF OPERATIONS)