Physician
Legacy Medical LLC
Legacy Medical LLC was paid $320K by Medicaid between Dec 2020 and Nov 2024, across 28 billing codes. Its largest line is 99349, — 55% of everything it billed.
33Billing provider infoLEGACY MEDICAL LLC
BISMARCK, ND 58504
BISMARCK, ND 58504
33aNPI1619594637assigned 06/26/2020
33bProvider typeAdult Medicine Physician
28Total paid$320K
24GClaims10,156
24DCodes billed28
24AFirst – last monthDec 2020 – Nov 2024
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 | |
|---|---|---|---|
| 2020 | 44 | $520.84 | |
| 2021 | 588 | $3K | |
| 2022 | 1,521 | $28K | |
| 2023 | 3,506 | $138K | |
| 2024incomplete | 4,497 | $151K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99349 | 55% | 3,686 | 2,221 | $176K | |
| 99348 | 15% | 1,218 | 750 | $49K | |
| 99350 | Prolong home eval add 15m | 14% | 434 | 326 | $44K |
| 99336 | 6.5% | 1,039 | 510 | $21K | |
| 99490 | Ccm add 20min | 4.9% | 522 | 522 | $16K |
| 99335 | 1.5% | 115 | 73 | $5K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.2% | 205 | 165 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 189 | 121 | $3K |
| 99439 | <1% | 78 | 78 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 166 | 93 | $1K |
| 99345 | Prolong home eval add 15m | <1% | 14 | 13 | $545.92 |
| 99337 | <1% | 13 | 13 | $327.48 |
16 more codes
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 298 | $0.00 |
| G9923 | Safety concerns screen provided and negative | 0% | 33 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,715 | $0.00 |
| G9916 | Functional status performed once in the last 12 months | 0% | 17 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 13 | $0.00 |
| G9920 | Screening performed and negative | 0% | 17 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 46 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 16 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 16 | $0.00 |
| 1123F | 0% | 59 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 20 | $0.00 |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 74 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 16 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 100 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 16 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 21 | $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, JILL (CHIEF OPERATING OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Harbor Physical Therapy Services, PS | Aberdeen, WA | $25K |
| Schneider Chiropratic Office SC | Green Bay, WI | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.