Physician
Lexington Health INC
Lexington Health INC was paid $3.56M by Medicaid between Feb 2021 and Nov 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.
33Billing provider infoLEXINGTON HEALTH INC
WEST COLUMBIA, SC 29169
WEST COLUMBIA, SC 29169
33aNPI1487252508assigned 10/12/2020
33bProvider typeObstetrics & Gynecology Physician
28Total paid$3.56M
24GClaims82,730
24DCodes billed29
24AFirst – last monthFeb 2021 – Nov 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in South Carolina
Rank by total paid#6 of 206
Median peer was paid$10K
This provider vs. median360×
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 BRILLHART, JEFFREY controls 20+ 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 | |
|---|---|---|---|
| 2021 | 23,750 | $982K | |
| 2022 | 23,161 | $1.01M | |
| 2023 | 21,084 | $900K | |
| 2024incomplete | 14,735 | $664K |
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 | 71% | 41,614 | 35,509 | $2.52M |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 6.0% | 2,555 | 2,414 | $212K |
| 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 | 4.9% | 2,032 | 1,778 | $173K |
| 76819 | Fetal biophysical profile; without non-stress testing | 4.5% | 2,663 | 2,053 | $161K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.4% | 1,574 | 1,550 | $122K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 2.6% | 1,202 | 1,074 | $93K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 1,629 | 1,383 | $70K |
| 76830 | Ultrasound, transvaginal | 1.7% | 668 | 645 | $59K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.3% | 406 | 387 | $46K |
| 36415 | Collection of venous blood by venipuncture | 1.1% | 16,874 | 15,421 | $40K |
| 81003 | <1% | 5,292 | 4,092 | $13K | |
| 81025 | <1% | 1,819 | 1,728 | $11K |
17 more codes
| 59430 | <1% | 59 | $8K | |
| 90715 | <1% | 202 | $7K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 62 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 367 | $4K |
| 87210 | <1% | 1,136 | $4K | |
| 85018 | <1% | 1,674 | $3K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 42 | $3K |
| 99385 | <1% | 27 | $2K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 12 | $1K |
| 54150 | <1% | 12 | $1K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 12 | $1K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 14 | $886.10 |
| 90686 | <1% | 53 | $796.92 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 19 | $623.67 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 102 | $504.89 |
| 3074F | 0% | 336 | $0.00 | |
| 3078F | 0% | 273 | $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 officialBRILLHART, JEFFREY (SENIOR VP/CFO)
Parent organizationLEXINGTON HEALTH INC
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.