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    OpenPayerNPI Medicare & MedicaidLegacy Medical LLC
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    Legacy Medical LLC — Billing Profile & Reimbursement Data

    NPI 1619594637 · Bismarck, ND · Adult Medicine Physician

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    Legacy Medical LLC is a adult medicine physician provider located in Bismarck, North Dakota. This profile covers 0 Medicare and 28 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationLegacy Medical LLC
    Address600 S 2nd St Ste 200
    CityBismarck
    StateND
    ZIP58504
    TaxonomyAdult Medicine Physician
    NPI EnumeratedJune 26, 2020

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$320.7K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…3,690$50$176.9K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…1,220$40$48.7K
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…430$100$44.3K
    99336N/A1,040$20$20.8K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…520$30$15.7K
    99335N/A120$40$4.8K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…210$20$3.7K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.190$20$2.8K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…80$10$1.1K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…170$10$1000

    Showing 1–10 of 28

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. North Dakota median

    28 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…1220470$40$77.2K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…110230$50$50.4K
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…210430$90$27.6K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…110650$40$24.2K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…1020170$30$22.4K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…210520$30$15.6K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.920110$60$14.3K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…210410$30$11.3K
    99336N/A11050$30$7.2K
    99335N/A310130$30$3.6K

    Showing 1–10 of 28

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Legacy Medical LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michelle RexineNDNurse Practitioner$187.4K$0
    Chelsea VollmerNDNurse Practitioner$137K$0
    Rebecca KreisNDNurse Practitioner$125.5K$0
    Jennifer LombardiWYFamily Nurse Practitioner$123.9K$0
    Veronica CarsonMNGerontology Nurse Practitioner$112.9K$0
    Kaitlyn PerezNDFamily Nurse Practitioner$105.1K$0
    Jennifer KarpSDFamily Nurse Practitioner$99.8K$0
    Tara DyeWYFamily Nurse Practitioner$95.3K$0
    Anna RosenbergMNFamily Nurse Practitioner$85.2K$0
    Cynthia WaldNDFamily Nurse Practitioner$55.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pride Inc.NDDevelopmentally Disabled Services Day Training Agency$0$71.1M
    Sanford BismarckNDMulti-Specialty Clinic/Center$0$43.9M
    Support Systems, Inc.NDCommunity/Behavioral Health Agency$0$37.7M
    Bridging The Dental Gap IncNDDental Clinic/Center$0$6.8M
    Pride IncNDCommunity/Behavioral Health Agency$0$6.6M
    Pride Inc.NDCommunity/Behavioral Health Agency$0$5.7M
    Pride IncNDCommunity/Behavioral Health Agency$0$4.9M
    Dakota Surgery & Laser Center LLCNDAmbulatory Surgical Clinic/Center$1.7M$28.4K
    The Kid's Therapy Center LLCNDCommunity/Behavioral Health Agency$0$1.5M
    City Of BismarckNDState or Local Public Health Clinic/Center$111.3K$1.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. North Dakota Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Dakota Distribution
    Legacy Medical LLC — 3 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota