Lexington Health INC
Lexington Health INC was paid $1.18M by Medicaid between Feb 2021 and Nov 2024, across 9 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 67% of everything it billed.
WEST COLUMBIA, SC 29169
Next to other Critical Care Medicine (Internal Medicine) 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 | 7,716 | $439K | |
| 2022 | 6,895 | $365K | |
| 2023 | 4,517 | $247K | |
| 2024incomplete | 2,412 | $129K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 67% | 17,469 | 6,729 | $789K |
| 99223 | Prolong inpt eval add15 m | 11% | 1,024 | 980 | $131K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 11% | 899 | 363 | $128K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.1% | 1,326 | 693 | $84K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.4% | 591 | 560 | $40K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 166 | 64 | $4K |
| 31624 | <1% | 34 | 24 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | 12 | $724.77 |
| 95816 | <1% | 17 | 12 | $331.20 |
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 | 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.