Medicaid Provider Spending

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

LEXINGTON HEALTH INC

NPI: 1376144972 · WEST COLUMBIA, SC 29169 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 11/02/2020

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

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

$1.18M
Total Medicaid Paid
21,540
Total Claims
9,437
Beneficiaries
9
Codes Billed
2021-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBRILLHART, JEFFREY (SR VP/CFO)
Parent OrganizationLEXINGTON HEALTH INC
NPI Enumeration Date11/02/2020

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 LEXINGTON SC $2.52M
LEXINGTON HEALTH INC SWANSEA SC $1.26M
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 7,716 $439K
2022 6,895 $365K
2023 4,517 $247K
2024 2,412 $129K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 17,469 6,729 $789K
99223 Prolong inpt eval add15 m 1,024 980 $131K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 899 363 $128K
99233 Prolong inpt eval add15 m 1,326 693 $84K
99239 Hospital discharge day management, more than 30 minutes 591 560 $40K
99231 Subsequent hospital care, per day, straightforward or low complexity 166 64 $4K
31624 34 24 $2K
99238 Hospital discharge day management, 30 minutes or less 14 12 $724.77
95816 17 12 $331.20