LEGACY MEDICAL CLINIC WITH MENTAL HEALTH, LLC
NPI: 1487272910
· TEMPLE HILLS, MD 20748
· Family Nurse Practitioner
· NPI assigned 07/10/2020
$180K
Total Medicaid Paid
3,696
Beneficiary Records
Provider Details
| Authorized Official | NWAULU, CHINASA (CO-OWNER) |
| NPI Enumeration Date | 07/10/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
817 |
$16K |
| 2022 |
1,194 |
$52K |
| 2023 |
1,380 |
$72K |
| 2024 |
995 |
$39K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99310 |
Prolong nursin fac eval 15m |
2,704 |
2,297 |
$120K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,410 |
1,134 |
$53K |
| 99306 |
Prolong nursin fac eval 15m |
142 |
140 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
12 |
$727.75 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
115 |
113 |
$539.34 |