Medicaid Provider Spending

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

LEXINGTON HEALTH INC

NPI: 1376140764 · LEXINGTON, SC 29072 · Family Medicine Physician · NPI assigned 10/08/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BRILLHART, JEFFREY controls 20+ related entities in our dataset. Read more

$4.00M
Total Medicaid Paid
98,531
Total Claims
83,918
Beneficiaries
29
Codes Billed
2021-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBRILLHART, JEFFREY (SENIOR VP/CFO)
Parent OrganizationLEXINGTON HEALTH INC
NPI Enumeration Date10/08/2020

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 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
LEXINGTON HEALTH INC BATESBURG LEESVILLE SC $239K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 20,207 $889K
2022 26,885 $1.23M
2023 27,048 $1.09M
2024 24,391 $790K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 34,345 27,264 $2.16M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34,817 30,110 $1.74M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 319 307 $39K
36415 Collection of venous blood by venipuncture 16,414 14,952 $27K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 50 39 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 103 99 $5K
87428 59 59 $3K
83036 Hemoglobin; glycosylated (A1C) 646 591 $3K
85027 648 584 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 38 25 $2K
99442 60 58 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 28 28 $976.35
90686 89 83 $816.33
80305 54 53 $445.25
90460 Immunization administration through 18 years of age via any route, first or only component 13 13 $253.40
85025 Blood count; complete (CBC), automated, and automated differential WBC count 41 41 $205.79
99441 12 12 $178.78
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 47 40 $142.04
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 47 40 $141.41
81003 42 37 $47.86
3078F 3,205 2,854 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 313 292 $0.00
1159F 89 76 $0.00
1160F 89 76 $0.00
4013F 70 55 $0.00
3008F 3,323 2,942 $0.00
3074F 3,453 3,079 $0.00
4010F 15 13 $0.00
3079F 102 96 $0.00