Lexington Health INC
Lexington Health INC was paid $845K by Medicaid between Feb 2021 and Nov 2024, across 10 billing codes. Its largest line is 87637, Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV — 95% of everything it billed.
SWANSEA, SC 29160
Next to other Family Medicine 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 | 2,355 | $200K | |
| 2022 | 3,678 | $300K | |
| 2023 | 4,006 | $254K | |
| 2024incomplete | 1,996 | $90K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 95% | 6,771 | 6,666 | $800K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.9% | 3,066 | 3,034 | $33K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 58 | 58 | $3K |
| 85027 | <1% | 593 | 574 | $2K | |
| 81001 | <1% | 1,070 | 1,041 | $2K | |
| 80053 | Comprehensive metabolic panel | <1% | 301 | 294 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 67 | 66 | $840.09 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 55 | 52 | $288.87 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 40 | 40 | $232.17 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 14 | 12 | $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 | 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.