Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Nevada for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nevada only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Nevada (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Legacy Health And Wellness, LLC (NPI 1457600645)

Field	Value
Entity Type	Organization
Organization	Legacy Health And Wellness, LLC
Address	2921 N Tenaya Way
City	Las Vegas
State	NV
ZIP	89128
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	September 3, 2012

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	18,210	$100	$1.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	9,450	$90	$887.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,750	$130	$220.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	2,830	$70	$203.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,860	$70	$128.5K
H2014	Skills training and development, per 15 minutes	750	$40	$26.4K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	630	$30	$16.3K
T1016	Case management, each 15 minutes	340	$10	$3.8K
H0031	Mental health assessment, by non-physician	10	$180	$2.4K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.

Claims Volume vs. Nevada Distribution

Legacy Health And Wellness, LLC — 3 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	7	330	360	$130	$174.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	17	970	360	$80	$139.2K
T1016	Case management, each 15 minutes	78	190	210	$40	$138.1K
H2014	Skills training and development, per 15 minutes	47	110	490	$100	$127.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	19	130	540	$90	$121.3K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	44	330	180	$50	$65.8K
H0031	Mental health assessment, by non-physician	299	340	60	$120	$38.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	13	380	50	$90	$32.5K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	46	440	70	$20	$7.2K

Nearby Providers

Other providers in the same ZIP code as Legacy Health And Wellness, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunrise Mountainview Hospital, Inc.	NV	General Acute Care Hospital	$0	$32.1M
Fremont Emergency Services Scherr Ltd	NV	Emergency Medicine Physician	$0	$22.9M
Ellis Bandt Birkin Kollins & Wong PLLC	NV	Diagnostic Radiology Physician	$0	$18.1M
Nevada Acute Medical Services-scherr 1 PC	NV	Hospitalist Physician	$0	$13.5M
Renal Care Group Las Vegas, LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$13.4M
Laboratory Medicine Consultants Ltd	NV	Clinical Medical Laboratory	$1.9M	$9.2M
Cybt, Inc	NV	In Home Supportive Care Agency	$0	$11.1M
Kan-di-ki LLC	NV	Clinical Medical Laboratory	$5M	$3.6M
Southwest Rehabilitation Physicians & Farhang Associates PLLC	NV	Pain Medicine Physician	$0	$7.1M
New Century Rehabilitation LLC	NV	Physical Therapist	$0	$6.9M

Legacy Health And Wellness, LLC — Billing Profile & Reimbursement Data

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Legacy Health And Wellness, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References