Physician
Lexington Health INC
Lexington Health INC was paid $4.00M by Medicaid between Feb 2021 and Nov 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoLEXINGTON HEALTH INC
LEXINGTON, SC 29072
LEXINGTON, SC 29072
33aNPI1376140764assigned 10/08/2020
33bProvider typeFamily Medicine Physician
28Total paid$4.00M
24GClaims98,531
24DCodes billed29
24AFirst – last monthFeb 2021 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in South Carolina
Rank by total paid#8 of 696
Median peer was paid$14K
This provider vs. median277×
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 | 20,207 | $889K | |
| 2022 | 26,885 | $1.23M | |
| 2023 | 27,048 | $1.09M | |
| 2024incomplete | 24,391 | $790K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 54% | 34,345 | 27,264 | $2.16M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 34,817 | 30,110 | $1.74M |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 319 | 307 | $39K |
| 36415 | Collection of venous blood by venipuncture | <1% | 16,414 | 14,952 | $27K |
| 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 | <1% | 50 | 39 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 103 | 99 | $5K |
| 87428 | <1% | 59 | 59 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 646 | 591 | $3K |
| 85027 | <1% | 648 | 584 | $3K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 38 | 25 | $2K |
| 99442 | <1% | 60 | 58 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | 28 | $976.35 |
17 more codes
| 90686 | <1% | 89 | $816.33 | |
| 80305 | <1% | 54 | $445.25 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 13 | $253.40 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 41 | $205.79 |
| 99441 | <1% | 12 | $178.78 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 47 | $142.04 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 47 | $141.41 |
| 81003 | <1% | 42 | $47.86 | |
| 3078F | 0% | 3,205 | $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) | 0% | 313 | $0.00 |
| 1159F | 0% | 89 | $0.00 | |
| 1160F | 0% | 89 | $0.00 | |
| 4013F | 0% | 70 | $0.00 | |
| 3008F | 0% | 3,323 | $0.00 | |
| 3074F | 0% | 3,453 | $0.00 | |
| 4010F | 0% | 15 | $0.00 | |
| 3079F | 0% | 102 | $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.
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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.