Legacy Home Health Agency, INC.

Legacy Home Health Agency, INC. was paid $244.21M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 98% of everything it billed.

33Billing provider infoLEGACY HOME HEALTH AGENCY, INC.
CORPUS CHRISTI, TX 78405

33aNPI1689652166assigned 01/05/2006

33bProvider typeHome Health Agency

28Total paid$244.21M

24GClaims4,320,163

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Home Health Agency providers in Texas

Rank by total paid#2 of 1,243

Median peer was paid$1.86M

This provider vs. median131×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration98% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.

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	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
2024incomplete	891,118	$58.08M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S5125	Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes	98%	4,184,143	173,714	$238.71M
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)	1.4%	97,853	3,940	$3.48M
T1005	Respite care services, up to 15 minutes	<1%	38,167	2,389	$2.02M

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 officialHERNANDEZ, AMBROSE (OWNER AND ADMINISTRATOR)

Same official

Other billing entities under HERNANDEZ, AMBROSE

Full network →

Provider	Location	Paid
Legacy Home Care Services, INC.	Mcallen, TX	$30.64M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.