Providers

LEGACY HEALTH CARE INC

NPI 1952417214, organization, Layton, UT, Home Health

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00112, ranked 112 nationally.
score 60 of 100, rank 2199, $0 at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameLEGACY HEALTH CARE INC (also LEGACY HOME CARE)
TypeOrganization
StatusActive
NPI issuedAugust 21, 2006, last updated March 3, 2022
Practice location880 HERITAGE PARK BLVD STE 200, Layton, UT 84041-5680, 801-771-9099
Mailing address3135 N FAIRFIELD RD, SUITE A, Layton, UT 84041-8832
Authorized officialSHANE JAMES (CEO/Administrator)
Specialties
Home Health (251E00000X, primary)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
G0152OT in home health or hospice setting each 15 min$00%$0.00$182 (top 5% from $529)0th percentile
G0151PT in home health or hospice setting each 15 min$00%$0.00$203 (top 5% from $565)0th percentile
G0299Direct skilled nursing by RN in home health or hospice each 15 min$00%$0.00$151 (top 5% from $742)0th percentile
Q5001Medicaid service code$00%$0.00$0.00 (top 5% from $3K)too few months to rank
G0156Home health or hospice aide each 15 min$00%$0.00$585 (top 5% from $4K)too few months to rank
Q5002Medicaid service code$00%$0.00$0.00 (top 5% from $62)0th percentile
G0158OT assistant in home health or hospice setting each 15 min$00%$0.00$154 (top 5% from $476)0th percentile
G0157PT assistant in home health or hospice setting each 15 min$00%$0.00$0.00 (top 5% from $388)0th percentile

In this area

4 providers in Davis County, UT carry an indicator in the public record, with $1.4M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by part of a provider network on 1.

tierproviderat stakewhy
2CASEY STELTER
Layton, UT, ranked 748
$30K
  • Billed more hands-on hours than a day holds in 1 month, peaking at 4.7 hours per day across 3 billing organizations.
3LEGACY HEALTH CARE, INC.
Layton, UT, ranked 5768
$0
  • Part of provider network D1-00112, ranked 112 nationally.
4PAUL FLACK
Woods Cross, UT, ranked 7844
$940K
  • Hours beyond a day in 2 months under one organization, which can be supervisory billing.
  • Records needed.
  • and 1 more
5RHONDA SMITH
Bountiful, UT, ranked 10300
$419K
  • Medicaid dollars per patient on code 96372 ($1014 per patient-month) sit in the top 5% of every provider billing that code.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

Ask this case

Answers come only from the evidence tables, and every sentence cites the record it used.