Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Lexington County Health Services District, INC.

Lexington County Health Services District, INC. was paid $58K by Medicaid between Feb 2020 and Jan 2021, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.

33Billing provider infoLEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
LEXINGTON, SC 29072
33aNPI1194380600assigned 05/09/2019
28Total paid$58K
24GClaims1,356
24DCodes billed11
24AFirst – last monthFeb 2020 – Jan 2021
Compared with peers

Next to other Urgent Care Clinic/Center providers in South Carolina

Rank by total paid#30 of 36
Median peer was paid$695K
This provider vs. median0.1×

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 AYERS, TIFFANY controls 15+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20201,038$43K
2021318$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 50% 616 596 $29K
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 18% 147 136 $11K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 8.7% 43 40 $5K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7.0% 64 62 $4K
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 6.2% 34 31 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4.1% 212 99 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3.6% 41 40 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.5% 81 76 $872.16
81001 <1% 84 77 $185.27
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 17 14 $76.27
36415 Collection of venous blood by venipuncture <1% 17 14 $24.15

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 officialAYERS, TIFFANY (CREDENTIALING MANAGER)
Parent organizationLEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Same official

Other billing entities under AYERS, TIFFANY

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.