Lexington Health INC
Lexington Health INC was paid $187K by Medicaid between Feb 2021 and Sep 2021, across 20 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 36% of everything it billed.
WEST COLUMBIA, SC 29169
Next to other Diagnostic Radiology Physician providers in South Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 12,630 | $187K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 36% | 1,186 | 1,122 | $68K |
| 70450 | Computed tomography, head or brain; without contrast material | 20% | 1,501 | 1,424 | $37K |
| 71045 | Radiologic examination, chest; single view | 18% | 6,102 | 5,384 | $33K |
| 71046 | Radiologic examination, chest; 2 views | 6.5% | 1,629 | 1,577 | $12K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 5.8% | 362 | 356 | $11K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 3.9% | 133 | 129 | $7K |
| 77063 | Screening digital breast tomosynthesis, bilateral | 3.5% | 275 | 274 | $7K |
| 74018 | 2.3% | 775 | 669 | $4K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | 1.3% | 40 | 38 | $2K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.1% | 73 | 65 | $2K |
| 76642 | <1% | 34 | 28 | $800.77 | |
| 76801 | <1% | 16 | 16 | $597.84 |
8 more codes
| 49083 | <1% | 19 | $567.80 | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 27 | $515.10 |
| 77066 | Tomosynthesis, mammo | <1% | 12 | $481.25 |
| 73630 | <1% | 30 | $197.11 | |
| 73610 | <1% | 14 | $91.95 | |
| 72100 | <1% | 15 | $81.64 | |
| 73130 | <1% | 12 | $77.09 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 375 | $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.
Who's on the registration
| 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 | $502K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.