Physician
Lexington Health INC
Lexington Health INC was paid $701K by Medicaid between Feb 2021 and Oct 2024, across 27 billing codes. Its largest line is 76811, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed — 27% of everything it billed.
33Billing provider infoLEXINGTON HEALTH INC
WEST COLUMBIA, SC 29169
WEST COLUMBIA, SC 29169
33aNPI1568060689assigned 10/12/2020
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$701K
24GClaims10,917
24DCodes billed27
24AFirst – last monthFeb 2021 – Oct 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in South Carolina
Rank by total paid#4 of 11
Median peer was paid$6K
This provider vs. median121×
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 | 3,311 | $233K | |
| 2022 | 3,656 | $202K | |
| 2023 | 3,192 | $220K | |
| 2024incomplete | 758 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 27% | 1,425 | 1,333 | $189K |
| 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 | 17% | 1,532 | 1,201 | $122K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 12% | 1,103 | 915 | $87K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 11% | 503 | 482 | $76K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 1,391 | 1,114 | $71K |
| 99243 | 3.1% | 194 | 191 | $22K | |
| 99205 | Prolong outpt/office vis | 3.0% | 121 | 116 | $21K |
| 76825 | 2.9% | 107 | 97 | $20K | |
| 76820 | 2.7% | 590 | 458 | $19K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 118 | 96 | $14K |
| 76819 | Fetal biophysical profile; without non-stress testing | 1.9% | 231 | 148 | $13K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.8% | 200 | 121 | $13K |
15 more codes
| 99442 | 1.2% | 357 | $8K | |
| 99245 | <1% | 26 | $5K | |
| 76827 | <1% | 93 | $5K | |
| 81003 | <1% | 1,786 | $4K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 58 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 76 | $3K |
| 76821 | <1% | 25 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $1K |
| 76801 | <1% | 14 | $955.16 | |
| 82962 | <1% | 112 | $236.75 | |
| 99441 | <1% | 12 | $140.42 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 26 | $39.16 |
| 81001 | <1% | 15 | $19.73 | |
| 3078F | <1% | 376 | $0.02 | |
| 3074F | 0% | 409 | $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 | West Columbia, SC | $3.56M |
| 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 | 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.