Lexington County Health Services District, INC.
Lexington County Health Services District, INC. was paid $2.38M by Medicaid between Jan 2018 and Jan 2021, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.
WEST COLUMBIA, SC 29169
Next to other Obstetrics & Gynecology 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 | |
|---|---|---|---|
| 2018 | 21,639 | $728K | |
| 2019 | 18,624 | $701K | |
| 2020 | 20,928 | $862K | |
| 2021 | 2,049 | $87K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 75% | 33,788 | 27,747 | $1.77M |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 4.8% | 1,072 | 1,054 | $115K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 3.8% | 1,229 | 1,112 | $90K |
| 76819 | Fetal biophysical profile; without non-stress testing | 3.6% | 1,494 | 1,113 | $86K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.0% | 908 | 855 | $71K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 1,971 | 1,549 | $66K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.6% | 576 | 566 | $39K |
| 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 | <1% | 304 | 269 | $24K |
| 76830 | Ultrasound, transvaginal | <1% | 252 | 247 | $22K |
| 36415 | Collection of venous blood by venipuncture | <1% | 10,098 | 9,373 | $21K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 217 | 209 | $13K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 12 | 12 | $10K |
16 more codes
| 81003 | <1% | 3,456 | $8K | |
| 85018 | <1% | 3,528 | $8K | |
| 81000 | <1% | 2,256 | $8K | |
| 81025 | <1% | 683 | $4K | |
| 90686 | <1% | 333 | $4K | |
| 59430 | <1% | 27 | $3K | |
| 90715 | <1% | 86 | $3K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 37 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 518 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 29 | $2K |
| 54150 | <1% | 15 | $791.12 | |
| 87210 | <1% | 197 | $679.56 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 16 | $348.99 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 80 | $276.69 |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 39 | $158.42 |
| 3074F | 0% | 19 | $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 County Health Services District, INC. | West Columbia, SC | $278K |
| Lexington County Health Services District, INC. | West Columbia, SC | $136K |
| Lexington County Health Services District, INC. | West Columbia, SC | $121K |
| Lexington County Health Services District, INC. | Lexington, SC | $58K |
| Lexington County Health Services District, INC. | Columbia, SC | $23K |
| Lexington County Health Services District, INC. | West Columbia, SC | $19K |
| Lexington County Health Services District, INC. | West Columbia, SC | $18K |
| Lexington Health, INC | West Columbia, SC | $14K |
| Lexington County Health Services District, INC. | West Columbia, SC | $11K |
| Lexington Health INC | West Columbia, SC | $7K |
| Lexington County Health Services District, INC. | Columbia, SC | $4K |
| Lexington County Health Services District, INC. | West Columbia, SC | $3K |
| Lexington Health INC | Columbia, SC | $3K |
| Lexington County Health Services District, INC. | West Columbia, SC | $2K |
| Lexington County Health Services District, INC. | West Columbia, SC | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.