Physician
Legacy Care Aco LLC
Legacy Care Aco LLC was paid $31K by Medicaid between Jan 2024 and Nov 2024, across 7 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 83% of everything it billed.
33Billing provider infoLEGACY CARE ACO LLC
VIRGINIA BCH, VA 23454
VIRGINIA BCH, VA 23454
33aNPI1538844857assigned 06/15/2023
33bProvider typeInternal Medicine Physician
28Total paid$31K
24GClaims3,288
24DCodes billed7
24AFirst – last monthJan 2024 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Virginia
Rank by total paid#211 of 478
Median peer was paid$17K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2024incomplete | 3,288 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 83% | 2,678 | 1,000 | $26K |
| 99310 | Prolong nursin fac eval 15m | 11% | 155 | 107 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 3.4% | 41 | 38 | $1K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.1% | 145 | 83 | $657.01 |
| 99491 | Ccm add 20min | 1.2% | 187 | 163 | $371.68 |
| G0317 | Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) | <1% | 62 | 38 | $24.40 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 20 | 19 | $0.00 |
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 officialLOPEZ, TRACI (DIRECTOR REVENUE CYCLE)