Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LEXINGTON HEALTH INC

NPI: 1114525250 · LEXINGTON, SC 29072 · Urgent Care Clinic/Center · NPI assigned 10/12/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BRILLHART, JEFFREY controls 20+ related entities in our dataset. Read more

$8.67M
Total Medicaid Paid
171,258
Total Claims
167,319
Beneficiaries
28
Codes Billed
2021-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBRILLHART, JEFFREY (SENIOR VP/CFO)
Parent OrganizationLEXINGTON HEALTH INC
NPI Enumeration Date10/12/2020

Related Entities

Other providers sharing the same authorized official: BRILLHART, JEFFREY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 30,837 $1.62M
2022 49,517 $2.68M
2023 53,400 $2.65M
2024 37,504 $1.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 28,587 28,092 $3.36M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45,056 44,101 $2.12M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 22,181 21,665 $1.47M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16,143 15,807 $1.13M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,421 2,346 $247K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12,021 11,828 $133K
81025 8,188 8,000 $47K
81001 16,372 15,911 $36K
99215 Prolong outpt/office vis 309 299 $26K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,651 3,522 $19K
36415 Collection of venous blood by venipuncture 9,532 9,180 $18K
71046 Radiologic examination, chest; 2 views 1,321 1,289 $17K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 324 310 $16K
80053 Comprehensive metabolic panel 1,833 1,773 $13K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 300 281 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 724 706 $6K
85027 1,040 1,010 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 82 82 $4K
80048 Basic metabolic panel (calcium, ionized) 608 590 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 82 80 $2K
96375 Therapeutic injection; each additional sequential IV push 37 37 $587.03
93000 38 37 $344.35
87210 84 81 $298.27
J1885 Injection, ketorolac tromethamine, per 15 mg 193 180 $180.88
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 39 36 $135.36
J7030 Infusion, normal saline solution , 1000 cc 26 24 $59.81
83690 13 13 $44.07
J1100 Injection, dexamethasone sodium phosphate, 1 mg 53 39 $33.57