Clinic
Lexington Hospital Corporation
Lexington Hospital Corporation was paid $379K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoLEXINGTON HOSPITAL CORPORATION
LEXINGTON, TN 38351
LEXINGTON, TN 38351
33aNPI1417298506assigned 03/14/2013
33bProvider typeRural Health Clinic/Center
28Total paid$379K
24GClaims12,354
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Tennessee
Rank by total paid#30 of 96
Median peer was paid$127K
This provider vs. median3.0×
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 | 1,371 | $51K | |
| 2019 | 1,071 | $33K | |
| 2020 | 1,484 | $53K | |
| 2021 | 1,283 | $41K | |
| 2022 | 3,241 | $81K | |
| 2023 | 1,364 | $28K | |
| 2024incomplete | 2,540 | $92K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 58% | 6,368 | 5,007 | $220K |
| 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 | 28% | 2,927 | 2,309 | $107K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 3.8% | 211 | 187 | $15K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.5% | 276 | 231 | $9K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.2% | 214 | 190 | $8K |
| 99310 | Prolong nursin fac eval 15m | 1.3% | 267 | 85 | $5K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.1% | 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 | <1% | 258 | 171 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 76 | 67 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 37 | 24 | $1K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 20 | 19 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 235 | 153 | $906.53 |
10 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 34 | $498.30 |
| 87275 | <1% | 495 | $459.13 | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 12 | $384.12 |
| 87430 | <1% | 266 | $219.98 | |
| 99173 | <1% | 29 | $158.76 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 17 | $66.10 |
| 81003 | <1% | 216 | $64.55 | |
| 81025 | <1% | 57 | $62.82 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 14 | $0.68 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 33 | $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)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.