Medicaid Provider Spending

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

LEXINGTON HEALTH INC

NPI: 1487252508 · WEST COLUMBIA, SC 29169 · Obstetrics & Gynecology 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

$3.56M
Total Medicaid Paid
82,730
Total Claims
72,275
Beneficiaries
29
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 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 WEST COLUMBIA SC $250K
LEXINGTON HEALTH INC BATESBURG LEESVILLE SC $239K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 23,750 $982K
2022 23,161 $1.01M
2023 21,084 $900K
2024 14,735 $664K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41,614 35,509 $2.52M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,555 2,414 $212K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,032 1,778 $173K
76819 Fetal biophysical profile; without non-stress testing 2,663 2,053 $161K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,574 1,550 $122K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,202 1,074 $93K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,629 1,383 $70K
76830 Ultrasound, transvaginal 668 645 $59K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 406 387 $46K
36415 Collection of venous blood by venipuncture 16,874 15,421 $40K
81003 5,292 4,092 $13K
81025 1,819 1,728 $11K
59430 59 59 $8K
90715 202 200 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 62 60 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 367 365 $4K
87210 1,136 1,089 $4K
85018 1,674 1,641 $3K
J1050 Injection, medroxyprogesterone acetate, 1 mg 42 39 $3K
99385 27 26 $2K
90792 Psychiatric diagnostic evaluation with medical services 12 12 $1K
54150 12 12 $1K
77067 Screening mammography, bilateral, including computer-aided detection 12 12 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 14 14 $886.10
90686 53 53 $796.92
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 19 16 $623.67
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 102 82 $504.89
3074F 336 311 $0.00
3078F 273 250 $0.00