Medicaid Provider Spending

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

LEXINGTON HOSPITAL CORPORATION

NPI: 1417298506 · LEXINGTON, TN 38351 · Rural Health Clinic/Center · NPI assigned 03/14/2013

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

Authorized official HENSON, LARRY controls 15+ related entities in our dataset. Read more

$379K
Total Medicaid Paid
12,354
Total Claims
9,659
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHENSON, LARRY (RCD)
NPI Enumeration Date03/14/2013

Related Entities

Other providers sharing the same authorized official: HENSON, LARRY

ProviderCityStateTotal Paid
LEXINGTON HOSPITAL CORPORATION LEXINGTON TN $4.74M
LEXINGTON HOSPITAL CORPORATION LEXINGTON TN $2.24M
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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,371 $51K
2019 1,071 $33K
2020 1,484 $53K
2021 1,283 $41K
2022 3,241 $81K
2023 1,364 $28K
2024 2,540 $92K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,368 5,007 $220K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,927 2,309 $107K
99284 Emergency department visit for the evaluation and management, high severity 211 187 $15K
99308 Subsequent nursing facility care, per day, straightforward 276 231 $9K
99283 Emergency department visit for the evaluation and management, moderate severity 214 190 $8K
99310 Prolong nursin fac eval 15m 267 85 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 292 238 $4K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 258 171 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 76 67 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 37 24 $1K
99215 Prolong outpt/office vis 20 19 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 235 153 $906.53
96110 Developmental screening, with scoring and documentation, per standardized instrument 34 32 $498.30
87275 495 409 $459.13
99282 Emergency department visit for the evaluation and management, low to moderate severity 12 12 $384.12
87430 266 240 $219.98
99173 29 28 $158.76
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 17 14 $66.10
81003 216 155 $64.55
81025 57 47 $62.82
J1010 Injection, methylprednisolone acetate, 1 mg 14 13 $0.68
90460 Immunization administration through 18 years of age via any route, first or only component 33 28 $0.00