Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LEGACY CARE ACO LLC

NPI: 1538844857 · VIRGINIA BCH, VA 23454 · Internal Medicine Physician · NPI assigned 06/15/2023

$31K
Total Medicaid Paid
3,288
Total Claims
1,448
Beneficiaries
7
Codes Billed
2024-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLOPEZ, TRACI (DIRECTOR REVENUE CYCLE)
NPI Enumeration Date06/15/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 3,288 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,678 1,000 $26K
99310 Prolong nursin fac eval 15m 155 107 $3K
90792 Psychiatric diagnostic evaluation with medical services 41 38 $1K
99308 Subsequent nursing facility care, per day, straightforward 145 83 $657.01
99491 Ccm add 20min 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) 62 38 $24.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 20 19 $0.00