Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Lexington Health INC

Lexington Health INC was paid $212K by Medicaid between Feb 2021 and Nov 2024, across 19 billing codes. Its largest line is 95886, — 39% of everything it billed.

33Billing provider infoLEXINGTON HEALTH INC
WEST COLUMBIA, SC 29169
33aNPI1376141481assigned 10/12/2020
28Total paid$212K
24GClaims4,879
24DCodes billed19
24AFirst – last monthFeb 2021 – Nov 2024
Compared with peers

Next to other Interventional Pain Medicine Physician providers in South Carolina

Rank by total paid#6 of 12
Median peer was paid$65K
This provider vs. median3.2×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2021919$53K
20221,310$62K
20231,440$64K
2024incomplete1,210$32K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95886 39% 1,349 1,266 $82K
95911 25% 545 493 $53K
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 15% 971 887 $31K
95909 9.8% 341 333 $21K
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 7.7% 241 211 $16K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.0% 183 164 $4K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.2% 44 39 $3K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 54 28 $1K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 25 12 $239.34
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 416 385 $108.43
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 25 25 $13.34
3074F 0% 137 124 $0.00
7 more codes
3079F 0% 60 $0.00
3075F 0% 16 $0.00
3008F 0% 84 $0.00
1125F 0% 28 $0.00
3077F 0% 41 $0.00
3078F 0% 277 $0.00
4013F 0% 42 $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
Same official

Other billing entities under BRILLHART, JEFFREY

Full network →
ProviderLocationPaid
Lexington Health INCWest Columbia, SC$27.42M
Lexington Health INCLexington, SC$8.67M
Lexington Health INCLexington, SC$5.68M
Lexington Health INCWest Columbia, SC$4.26M
Lexington Health INCLexington, SC$4.00M
Lexington Health INCWest Columbia, SC$3.56M
Lexington Health INCLexington, SC$2.52M
Lexington Health INCSwansea, SC$1.26M
Lexington Health INCWest Columbia, SC$1.18M
Lexington Health INCSwansea, SC$845K
Lexington Health INCWest Columbia, SC$701K
Lexington Health INCChapin, SC$631K
Lexington Health INCWest Columbia, SC$598K
Lexington Health INCBatesburg Leesville, SC$512K
Lexington Health INCWest Columbia, SC$502K
Lexington Health INCWest Columbia, SC$341K
Lexington Health INCWest Columbia, SC$322K
Lexington Health INCWest Columbia, SC$321K
Lexington Health INCWest Columbia, SC$276K
Lexington Health INCWest Columbia, SC$250K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.