Lexington Health INC
Lexington Health INC was paid $99K by Medicaid between Feb 2021 and Jun 2022, across 15 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 39% of everything it billed.
WEST COLUMBIA, SC 29169
Next to other Orthopaedic Surgery 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 | 1,995 | $58K | |
| 2022 | 1,230 | $41K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 39% | 475 | 448 | $38K |
| 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 | 25% | 645 | 591 | $24K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 625 | 568 | $19K |
| 20610 | 12% | 720 | 526 | $12K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 2.1% | 299 | 269 | $2K |
| 73610 | 1.2% | 69 | 65 | $1K | |
| 73630 | <1% | 32 | 31 | $556.97 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 61 | 45 | $501.57 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 50 | 40 | $490.76 |
| 73502 | <1% | 29 | 28 | $337.80 | |
| 73110 | <1% | 12 | 12 | $254.21 | |
| 73030 | <1% | 13 | 12 | $73.95 |
3 more codes
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 | 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.