Supplier
Legacy Pharmacy Oc LLC
Legacy Pharmacy Oc LLC was paid $197.76 by Medicaid between Sep 2021 and Nov 2021, across 1 billing code. Its largest line is 0001A, — 100% of everything it billed.
33Billing provider infoLEGACY PHARMACY OC LLC
ORANGE CITY, FL 32763
ORANGE CITY, FL 32763
33aNPI1487098513assigned 04/19/2013
33bProvider typeCommunity/Retail Pharmacy
28Total paid$197.76
24GClaims34
24DCodes billed1
24AFirst – last monthSep 2021 – Nov 2021
Compared with peers
Next to other Community/Retail Pharmacy providers in Florida
Rank by total paid#102 of 334
Median peer was paid$16.94
This provider vs. median12×
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 | |
|---|---|---|---|
| 2021 | 34 | $197.76 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0001A | 100% | 34 | 29 | $197.76 |
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 officialSMART, DIPTI (PARTNER)