Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Legacy Healthcare INC.

Legacy Healthcare INC. was paid $6.85M by Medicaid between Feb 2018 and Nov 2024, across 1 billing code. Its largest line is Q5003, Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf) — 100% of everything it billed.

33Billing provider infoLEGACY HEALTHCARE INC.
ALBUQUERQUE, NM 87120
33aNPI1881024826assigned 11/12/2013
28Total paid$6.85M
24GClaims31,634
24DCodes billed1
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers

Next to other Community Based Hospice Care Agency providers in New Mexico

Rank by total paid#4 of 17
Median peer was paid$450K
This provider vs. median15×

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 Concentration100% of spending on code Q5003 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20183,361$616K
20195,223$931K
20205,852$1.25M
20215,786$1.22M
20226,119$1.39M
20231,679$421K
2024incomplete3,614$1.02M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
Q5003 Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf) 100% 31,634 1,218 $6.85M

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 officialMELTON, JIMMY (PRESIDENT)
Same official

Other billing entities under MELTON, JIMMY

Full network →
ProviderLocationPaid
Legacy Healthcare, INCAlbuquerque, NM$467K

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