Clinic
Lexington Health INC
Lexington Health INC was paid $8.67M by Medicaid between Feb 2021 and Dec 2024, across 28 billing codes. Its largest line is 87637, Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV — 39% of everything it billed.
33Billing provider infoLEXINGTON HEALTH INC
LEXINGTON, SC 29072
LEXINGTON, SC 29072
33aNPI1114525250assigned 10/12/2020
33bProvider typeUrgent Care Clinic/Center
28Total paid$8.67M
24GClaims171,258
24DCodes billed28
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in South Carolina
Rank by total paid#3 of 36
Median peer was paid$695K
This provider vs. median12×
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 | 30,837 | $1.62M | |
| 2022 | 49,517 | $2.68M | |
| 2023 | 53,400 | $2.65M | |
| 2024incomplete | 37,504 | $1.73M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 39% | 28,587 | 28,092 | $3.36M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 45,056 | 44,101 | $2.12M |
| 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 | 17% | 22,181 | 21,665 | $1.47M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 16,143 | 15,807 | $1.13M |
| 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 | 2.8% | 2,421 | 2,346 | $247K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 12,021 | 11,828 | $133K |
| 81025 | <1% | 8,188 | 8,000 | $47K | |
| 81001 | <1% | 16,372 | 15,911 | $36K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 309 | 299 | $26K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,651 | 3,522 | $19K |
| 36415 | Collection of venous blood by venipuncture | <1% | 9,532 | 9,180 | $18K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,321 | 1,289 | $17K |
16 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 324 | $16K |
| 80053 | Comprehensive metabolic panel | <1% | 1,833 | $13K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 300 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 724 | $6K |
| 85027 | <1% | 1,040 | $5K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 82 | $4K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 608 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 82 | $2K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 37 | $587.03 |
| 93000 | <1% | 38 | $344.35 | |
| 87210 | <1% | 84 | $298.27 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 193 | $180.88 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 39 | $135.36 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 26 | $59.81 |
| 83690 | <1% | 13 | $44.07 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 53 | $33.57 |
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 | $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 |
| 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.