Physician
Lexington Health INC
Lexington Health INC was paid $502K by Medicaid between Feb 2021 and Nov 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoLEXINGTON HEALTH INC
WEST COLUMBIA, SC 29169
WEST COLUMBIA, SC 29169
33aNPI1083211312assigned 10/09/2020
33bProvider typeClinical Cardiac Electrophysiology Physician
28Total paid$502K
24GClaims23,088
24DCodes billed24
24AFirst – last monthFeb 2021 – Nov 2024
Compared with peers
Next to other Clinical Cardiac Electrophysiology Physician providers in South Carolina
Rank by total paid#2 of 17
Median peer was paid$67K
This provider vs. median7.5×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BRILLHART, JEFFREY controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2021 | 4,150 | $106K | |
| 2022 | 5,117 | $137K | |
| 2023 | 6,099 | $143K | |
| 2024incomplete | 7,722 | $115K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 53% | 9,668 | 8,110 | $265K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 31% | 3,219 | 3,126 | $156K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.1% | 641 | 593 | $15K |
| 93000 | 2.9% | 3,008 | 2,538 | $15K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.2% | 150 | 130 | $11K |
| 93880 | 2.0% | 438 | 334 | $10K | |
| 93971 | 1.9% | 674 | 562 | $9K | |
| 93922 | 1.7% | 815 | 642 | $9K | |
| 93970 | <1% | 220 | 171 | $4K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 113 | 54 | $4K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 24 | 17 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $601.35 |
12 more codes
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 13 | $379.56 |
| 93297 | <1% | 29 | $238.37 | |
| 93296 | <1% | 12 | $122.12 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 28 | $39.85 |
| 3008F | 0% | 1,601 | $0.00 | |
| 3074F | 0% | 483 | $0.00 | |
| 3079F | 0% | 26 | $0.00 | |
| 4010F | 0% | 39 | $0.00 | |
| 1160F | 0% | 299 | $0.00 | |
| 3078F | 0% | 932 | $0.00 | |
| 4013F | 0% | 345 | $0.00 | |
| 1159F | 0% | 299 | $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 officialBRILLHART, JEFFREY (SENIOR VP/CFO)
Parent organizationLEXINGTON HEALTH INC
| Provider | Location | Paid |
|---|---|---|
| Lexington Health INC | West Columbia, SC | $27.42M |
| Lexington Health INC | Lexington, SC | $8.67M |
| Lexington Health INC | Lexington, SC | $5.68M |
| Lexington Health INC | West Columbia, SC | $4.26M |
| Lexington Health INC | Lexington, SC | $4.00M |
| Lexington Health INC | West Columbia, SC | $3.56M |
| Lexington Health INC | Lexington, SC | $2.52M |
| Lexington Health INC | Swansea, SC | $1.26M |
| Lexington Health INC | West Columbia, SC | $1.18M |
| Lexington Health INC | Swansea, SC | $845K |
| Lexington Health INC | West Columbia, SC | $701K |
| Lexington Health INC | Chapin, SC | $631K |
| Lexington Health INC | West Columbia, SC | $598K |
| Lexington Health INC | Batesburg Leesville, SC | $512K |
| Lexington Health INC | West Columbia, SC | $341K |
| Lexington Health INC | West Columbia, SC | $322K |
| Lexington Health INC | West Columbia, SC | $321K |
| Lexington Health INC | West Columbia, SC | $276K |
| Lexington Health INC | West Columbia, SC | $250K |
| Lexington Health INC | Batesburg Leesville, SC | $239K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.