Physician
Legacy Healthcare, LLC
Legacy Healthcare, LLC was paid $142K by Medicaid between Feb 2022 and Aug 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
33Billing provider infoLEGACY HEALTHCARE, LLC
ELIZABETHTOWN, KY 42701
ELIZABETHTOWN, KY 42701
33aNPI1558025908assigned 10/22/2021
33bProvider typeFamily Medicine Physician
28Total paid$142K
24GClaims4,014
24DCodes billed11
24AFirst – last monthFeb 2022 – Aug 2024
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#153 of 352
Median peer was paid$90K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2022 | 1,563 | $51K | |
| 2023 | 1,835 | $64K | |
| 2024incomplete | 616 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 66% | 1,980 | 1,705 | $93K |
| 87428 | 11% | 585 | 514 | $16K | |
| 87430 | 5.5% | 588 | 516 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.4% | 139 | 121 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 240 | 229 | $7K |
| 99205 | Prolong outpt/office vis | 3.2% | 50 | 50 | $5K |
| 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 | 2.3% | 41 | 41 | $3K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 332 | 293 | $951.06 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 27 | 24 | $413.25 |
| 36415 | Collection of venous blood by venipuncture | <1% | 18 | 16 | $16.90 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 14 | 13 | $12.12 |
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 officialBURRELL, DANA (OWNER)