Legacy Health Medical Group, LLC

Legacy Health Medical Group, LLC was paid $543K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 50% of everything it billed.

33Billing provider infoLEGACY HEALTH MEDICAL GROUP, LLC
LARGO, FL 33770

33aNPI1881942779assigned 08/27/2012

33bProvider typeNurse Practitioner

28Total paid$543K

24GClaims84,441

24DCodes billed19

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Nurse Practitioner providers in Florida

Rank by total paid#11 of 146

Median peer was paid$4K

This provider vs. median122×

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.

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	1,909	$579.63
2019	8,291	$43K
2020	10,324	$62K
2021	12,874	$78K
2022	15,241	$65K
2023	20,542	$197K
2024incomplete	15,260	$97K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99308	Subsequent nursing facility care, per day, straightforward	50%	50,635	17,838	$271K
99309	Subsequent nursing facility care, per day, low to moderate complexity	26%	19,109	9,300	$142K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	5.5%	2,145	546	$30K
99349		4.2%	2,282	1,163	$23K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.2%	2,915	840	$18K
99306	Prolong nursin fac eval 15m	2.0%	647	440	$11K
99348		2.0%	1,200	767	$11K
99223	Prolong inpt eval add15 m	1.5%	283	172	$8K
99336		1.4%	1,591	825	$8K
99239	Hospital discharge day management, more than 30 minutes	<1%	974	634	$5K
99305		<1%	651	432	$5K
99335		<1%	1,097	661	$5K

7 more codes

99310	Prolong nursin fac eval 15m	<1%	349	$4K
99307		<1%	246	$1K
99222	Initial hospital care, per day, moderate complexity	<1%	16	$613.31
99490	Ccm add 20min	<1%	153	$297.98
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	60	$147.40
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	17	$32.01
99337		0%	71	$0.00

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 officialSRIVASTAVA, SUNIT (MANAGING MEMBER)