Legacy Healthcare Services, INC
Legacy Healthcare Services, INC was paid $238K by Medicaid between Jun 2018 and Mar 2023, across 10 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 32% of everything it billed.
33Billing provider infoLEGACY HEALTHCARE SERVICES, INC
RALEIGH, NC 27610
RALEIGH, NC 27610
33aNPI1588084032assigned 04/23/2014
33bProvider typeOccupational Therapist
28Total paid$238K
24GClaims81,434
24DCodes billed10
24AFirst – last monthJun 2018 – Mar 2023
Compared with peers
Next to other Occupational Therapist providers in North Carolina
Rank by total paid#49 of 94
Median peer was paid$261K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2018 | 1,888 | $5K | |
| 2019 | 12,324 | $24K | |
| 2020 | 49,577 | $140K | |
| 2021 | 12,048 | $57K | |
| 2022 | 4,720 | $13K | |
| 2023 | 877 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 32% | 34,090 | 3,043 | $76K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 31% | 16,565 | 1,521 | $75K |
| 97535 | Self-care/home management training, each 15 minutes | 14% | 7,899 | 1,042 | $34K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 14% | 12,807 | 1,455 | $34K |
| 97116 | 6.5% | 9,146 | 906 | $16K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 1.8% | 731 | 51 | $4K |
| G8988 | Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 22 | 12 | $0.00 |
| G8987 | Self care functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 17 | 12 | $0.00 |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 93 | 61 | $0.00 |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 64 | 43 | $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 officialWILSON, WILLIAM (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Legacy Healthcare Services, INC. | Durham, NC | $101K |
| Sequoyah Dental, PLLC | Fayetteville, AR | $62K |
| Fairhope Dental Associates LLC | Fairhope, AL | $60K |
| Community EMS District | Garrettsville, OH | $11K |
| Legacy Healthcare Services INC. | Denver, CO | $0.00 |
| Legacy Healthcare Services INC | Franklin, IN | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.