Physician
Lexington Hospital Corporation
Lexington Hospital Corporation was paid $2.24M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99284, emergency room visit (serious) — 31% of everything it billed.
33Billing provider infoLEXINGTON HOSPITAL CORPORATION
LEXINGTON, TN 38351
LEXINGTON, TN 38351
33aNPI1407290893assigned 04/29/2013
33bProvider typeInternal Medicine Physician
28Total paid$2.24M
24GClaims63,761
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Tennessee
Rank by total paid#16 of 581
Median peer was paid$15K
This provider vs. median148×
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 HENSON, LARRY controls 15+ 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 | |
|---|---|---|---|
| 2018 | 3,559 | $104K | |
| 2019 | 3,960 | $103K | |
| 2020 | 7,116 | $252K | |
| 2021 | 12,771 | $458K | |
| 2022 | 8,681 | $349K | |
| 2023 | 16,887 | $595K | |
| 2024incomplete | 10,787 | $382K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 31% | 14,014 | 11,997 | $691K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 18,064 | 15,172 | $555K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 17% | 11,218 | 9,991 | $391K |
| 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 | 9.9% | 5,371 | 4,740 | $223K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 6.6% | 2,891 | 2,419 | $147K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 4.9% | 4,912 | 4,513 | $110K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 601 | 563 | $36K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 923 | 805 | $22K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,768 | 1,443 | $20K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 186 | 178 | $8K |
| 99223 | Prolong inpt eval add15 m | <1% | 222 | 171 | $7K |
| 99220 | <1% | 162 | 124 | $6K |
26 more codes
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,620 | $5K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 80 | $4K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 101 | $4K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 145 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 139 | $2K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 155 | $2K |
| 99310 | Prolong nursin fac eval 15m | <1% | 35 | $1K |
| 99217 | <1% | 50 | $1K | |
| 12001 | <1% | 12 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 66 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $925.99 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 102 | $529.96 |
| 90688 | <1% | 43 | $380.29 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 40 | $370.98 |
| 99173 | <1% | 82 | $322.18 | |
| 90686 | <1% | 25 | $281.45 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 171 | $67.75 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 108 | $55.77 |
| 96127 | <1% | 13 | $49.69 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 201 | $21.59 |
| 71045 | Radiologic examination, chest; single view | <1% | 15 | $7.08 |
| 3074F | 0% | 20 | $0.00 | |
| 3008F | 0% | 143 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 17 | $0.00 |
| 3079F | 0% | 16 | $0.00 | |
| 4010F | 0% | 16 | $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 officialHENSON, LARRY (RCD)
Parent organizationLEXINGTON HOSPITAL CORPORATION
| Provider | Location | Paid |
|---|---|---|
| Lexington Hospital Corporation | Lexington, TN | $4.74M |
| Ambulance Services of Lexington, INC. | Lexington, TN | $2.02M |
| Roland Public Schools | Roland, OK | $574K |
| Haywood County Community Hospital INC | Brownsville, TN | $491K |
| Houston County Community Hospital | Erin, TN | $416K |
| Lexington Hospital Corporation | Lexington, TN | $379K |
| Shamrock Community Hospital INC | Erin, TN | $315K |
| Decatur County General Hospital | Parsons, TN | $216K |
| Houston County Community Hospital | Erin, TN | $94K |
| Lexington Clinic Corp | Lexington, TN | $74K |
| Scotts Hill Clinic, INC. | Lexington, TN | $73K |
| Lexington Hospital Corporation | Brownsville, TN | $13K |
| Lexington Family Physicians LLC | Lexington, TN | $11K |
| Lexington Hospital Corporation | Lexington, TN | $953.55 |
| Shamrock Community Hospital INC | Erin, TN | $586.76 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.