LEGACY HOME HEALTH AGENCY, INC.
NPI: 1689652166
· CORPUS CHRISTI, TX 78405
· Home Health Agency
· NPI assigned 01/05/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$244.21M
Total Medicaid Paid
Provider Details
| Authorized Official | HERNANDEZ, AMBROSE (OWNER AND ADMINISTRATOR) |
| NPI Enumeration Date | 01/05/2006 |
Related Entities
Other providers sharing the same authorized official: HERNANDEZ, AMBROSE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
311,912 |
$15.15M |
| 2019 |
359,977 |
$18.15M |
| 2020 |
450,705 |
$23.37M |
| 2021 |
695,761 |
$36.67M |
| 2022 |
783,860 |
$45.10M |
| 2023 |
826,830 |
$47.70M |
| 2024 |
891,118 |
$58.08M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
4,184,143 |
173,714 |
$238.71M |
| T1019 |
Personal 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) |
97,853 |
3,940 |
$3.48M |
| T1005 |
Respite care services, up to 15 minutes |
38,167 |
2,389 |
$2.02M |