Legacy Care LLC

Legacy Care LLC was paid $5.03M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 64% of everything it billed.

33Billing provider infoLEGACY CARE LLC
VIRGINIA BEACH, VA 23454

33aNPI1902149776assigned 03/30/2013

33bProvider typeNurse Practitioner

28Total paid$5.03M

24GClaims459,337

24DCodes billed50

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Nurse Practitioner providers in Virginia

Rank by total paid#3 of 60

Median peer was paid$7K

This provider vs. median732×

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	86,940	$468K
2019	97,757	$926K
2020	70,832	$948K
2021	68,295	$829K
2022	65,145	$833K
2023	57,550	$717K
2024incomplete	12,818	$312K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	64%	308,490	100,241	$3.23M
99310	Prolong nursin fac eval 15m	24%	56,571	23,407	$1.19M
99308	Subsequent nursing facility care, per day, straightforward	3.6%	23,926	12,346	$181K
99356		1.6%	5,093	2,649	$79K
99306	Prolong nursin fac eval 15m	1.4%	2,523	1,807	$68K
99358	Prolong nursin fac eval 15m	1.3%	9,568	4,388	$67K
90792	Psychiatric diagnostic evaluation with medical services	1.1%	1,329	936	$53K
99491	Ccm add 20min	<1%	10,321	7,036	$33K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	1,501	324	$31K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	965	212	$19K
99305		<1%	818	541	$12K
99223	Prolong inpt eval add15 m	<1%	186	145	$11K

38 more codes

99357		<1%	460	$9K
99336		<1%	552	$7K
99497		<1%	635	$7K
99307		<1%	1,271	$5K
99221		<1%	117	$4K
99318		<1%	132	$3K
G0317	Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes)	<1%	714	$3K
99359	Prolong nursin fac eval 15m	<1%	815	$2K
90791	Psychiatric diagnostic evaluation	<1%	32	$2K
G0182	Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more	<1%	230	$2K
99490	Ccm add 20min	<1%	210	$1K
99316		<1%	85	$1K
99367		<1%	75	$1K
99349		<1%	21	$878.21
99337		<1%	34	$561.57
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%	91	$554.81
99496		<1%	17	$534.68
99418	Prolong nursin fac eval 15m	<1%	26	$511.23
11720		<1%	199	$342.64
3046F		<1%	22	$16.08
0518F		<1%	7,628	$0.02
3288F		<1%	6,241	$0.02
1100F		<1%	6,219	$0.02
1123F		<1%	10,391	$0.02
G8483	Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)	0%	159	$0.00
G8482	Influenza immunization administered or previously received	0%	864	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	228	$0.00
G2089	Most recent hemoglobin a1c (hba1c) level 7.0 to 9.0%	0%	13	$0.00
3045F		0%	50	$0.00
3021F		0%	88	$0.00
4040F		0%	25	$0.00
G8484	Influenza immunization was not administered, reason not given	0%	63	$0.00
1124F		0%	13	$0.00
G8923	Current or prior left ventricular ejection fraction (lvef) <= 40% or documentation of moderately or severely depressed left ventricular systolic function	0%	88	$0.00
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	0%	61	$0.00
G8473	Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed	0%	14	$0.00
3044F		0%	73	$0.00
4010F		0%	90	$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 officialHALL, DESI-RAE (DELEGATED OFFICIAL)