LEGACY HEALTHCARE INC.
NPI: 1881024826
· ALBUQUERQUE, NM 87120
· Community Based Hospice Care Agency
· NPI assigned 11/12/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code Q5003 with only 1 total codes billed. Highly concentrated billing profile.
$6.85M
Total Medicaid Paid
Provider Details
| Authorized Official | MELTON, JIMMY (PRESIDENT) |
| NPI Enumeration Date | 11/12/2013 |
Related Entities
Other providers sharing the same authorized official: MELTON, JIMMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,361 |
$616K |
| 2019 |
5,223 |
$931K |
| 2020 |
5,852 |
$1.25M |
| 2021 |
5,786 |
$1.22M |
| 2022 |
6,119 |
$1.39M |
| 2023 |
1,679 |
$421K |
| 2024 |
3,614 |
$1.02M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q5003 |
Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf) |
31,634 |
1,218 |
$6.85M |