Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LEGACY HOME HEALTH CARE OF SOUTHERN ARIZONA, LLC

NPI: 1770817256 · SIERRA VISTA, AZ 85635 · Home Health Agency · NPI assigned 09/30/2009

$319K
Total Medicaid Paid
3,533
Total Claims
850
Beneficiaries
4
Codes Billed
2018-01
First Month
2021-11
Last Month

Provider Details

Authorized OfficialSIMONSEN, MELISSA (DIRECTOR OF BUSINESS SERVICES)
NPI Enumeration Date09/30/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,930 $149K
2019 653 $91K
2020 134 $15K
2021 816 $64K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9123 Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) 3,042 712 $303K
S9124 Nursing care, in the home; by licensed practical nurse, per hour 162 54 $13K
S9131 Physical therapy; in the home, per diem 38 12 $3K
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 291 72 $0.00