Clinic
Lexington Health INC
Lexington Health INC was paid $172K by Medicaid between Feb 2021 and Nov 2024, across 21 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 39% of everything it billed.
33Billing provider infoLEXINGTON HEALTH INC
LEXINGTON, SC 29072
LEXINGTON, SC 29072
33aNPI1275130650assigned 10/08/2020
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$172K
24GClaims4,582
24DCodes billed21
24AFirst – last monthFeb 2021 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in South Carolina
Rank by total paid#8 of 21
Median peer was paid$101K
This provider vs. median1.7×
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 | 587 | $17K | |
| 2022 | 930 | $39K | |
| 2023 | 1,673 | $68K | |
| 2024incomplete | 1,392 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 39% | 570 | 557 | $67K |
| 70450 | Computed tomography, head or brain; without contrast material | 14% | 630 | 614 | $24K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 6.7% | 223 | 214 | $12K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 5.4% | 1,141 | 1,101 | $9K |
| 76830 | Ultrasound, transvaginal | 5.2% | 155 | 154 | $9K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 4.8% | 248 | 246 | $8K |
| 71046 | Radiologic examination, chest; 2 views | 4.5% | 569 | 557 | $8K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 4.0% | 180 | 179 | $7K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 3.6% | 84 | 83 | $6K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 2.1% | 53 | 53 | $4K |
| 74018 | 1.9% | 245 | 236 | $3K | |
| 71250 | 1.5% | 63 | 63 | $3K |
9 more codes
| 76770 | 1.4% | 69 | $2K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.2% | 55 | $2K |
| 76536 | 1.2% | 42 | $2K | |
| 76801 | 1.1% | 39 | $2K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 84 | $2K |
| A9577 | Injection, gadobenate dimeglumine (multihance), per ml | <1% | 39 | $947.39 |
| A9578 | Injection, gadobenate dimeglumine (multihance multipack), per ml | <1% | 50 | $816.73 |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 12 | $545.59 |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | <1% | 31 | $0.01 |
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 | $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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.