Medicaid Provider Spending

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

LEXINGTON HEALTH INC

NPI: 1275131310 · 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

$2.52M
Total Medicaid Paid
51,303
Total Claims
50,115
Beneficiaries
23
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 $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 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 5,203 $281K
2022 13,211 $692K
2023 18,006 $833K
2024 14,883 $711K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 9,059 8,883 $1.01M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,175 15,805 $767K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,749 5,621 $356K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,737 3,635 $252K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,012 4,894 $53K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 359 352 $20K
81025 1,959 1,921 $11K
81001 4,621 4,506 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 92 92 $9K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 182 178 $9K
71046 Radiologic examination, chest; 2 views 574 558 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 850 827 $4K
36415 Collection of venous blood by venipuncture 2,211 2,142 $4K
80053 Comprehensive metabolic panel 303 298 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 67 66 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 53 51 $1K
85027 137 131 $597.49
80048 Basic metabolic panel (calcium, ionized) 56 55 $290.02
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 37 37 $255.23
83690 13 12 $66.61
J7030 Infusion, normal saline solution , 1000 cc 28 27 $54.44
J1885 Injection, ketorolac tromethamine, per 15 mg 17 12 $10.48
J2405 Injection, ondansetron hydrochloride, per 1 mg 12 12 $5.08