Medicaid Provider Spending

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

LEXINGTON HEALTH INC

NPI: 1386242493 · WEST COLUMBIA, SC 29169 · Pulmonary Disease Physician · NPI assigned 10/12/2020

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

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

$250K
Total Medicaid Paid
15,589
Total Claims
13,989
Beneficiaries
19
Codes Billed
2021-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBRILLHART, JEFFREY (SENIOR VP/CFO)
Parent OrganizationLEXINGTON HEALTH INC
NPI Enumeration Date10/12/2020

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 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 BATESBURG LEESVILLE SC $239K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 3,493 $64K
2022 4,596 $91K
2023 3,278 $55K
2024 4,222 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,942 4,127 $164K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,450 1,311 $41K
94375 2,801 2,509 $32K
94729 300 272 $5K
71046 Radiologic examination, chest; 2 views 258 244 $3K
94618 206 192 $3K
94726 82 74 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $902.27
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $11.73
3074F 965 915 $0.00
3008F 1,311 1,258 $0.00
4010F 92 88 $0.00
3079F 72 72 $0.00
3078F 2,113 1,999 $0.00
4013F 364 333 $0.00
3077F 274 249 $0.00
1159F 154 148 $0.00
1160F 154 148 $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) 27 26 $0.00