Agency
Legacy Healthcare Advantage LLC
Legacy Healthcare Advantage LLC was paid $3.92M by Medicaid between Jul 2019 and Dec 2024, across 3 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 49% of everything it billed.
33Billing provider infoLEGACY HEALTHCARE ADVANTAGE LLC
SPARTANBURG, SC 29302
SPARTANBURG, SC 29302
33aNPI1568974863assigned 10/26/2017
33bProvider typeCase Management Agency
28Total paid$3.92M
24GClaims54,600
24DCodes billed3
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in South Carolina
Rank by total paid#15 of 45
Median peer was paid$1.97M
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2019 | 3,445 | $104K | |
| 2020 | 15,547 | $469K | |
| 2021 | 13,163 | $436K | |
| 2022 | 9,420 | $500K | |
| 2023 | 6,176 | $1.11M | |
| 2024incomplete | 6,849 | $1.30M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 49% | 30,639 | 1,753 | $1.92M |
| T1002 | Rn services, up to 15 minutes | 41% | 4,626 | 373 | $1.61M |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 9.9% | 19,335 | 1,109 | $388K |
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 officialWILKES, CORTELLA (OWNER)