Medicaid Provider Spending

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

LEXINGTON HEALTH INC

NPI: 1568069888 · WEST COLUMBIA, SC 29169 · Urology Physician · NPI assigned 10/09/2020

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

Authorized official BRILLHART, JEFFREY controls 20+ related entities in our dataset. Read more

$25K
Total Medicaid Paid
4,601
Total Claims
4,160
Beneficiaries
14
Codes Billed
2021-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBRILLHART, JEFFREY (SENIOR VP/CFO)
Parent OrganizationLEXINGTON HEALTH INC
NPI Enumeration Date10/09/2020

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 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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,001 $5K
2022 1,151 $7K
2023 911 $7K
2024 1,538 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 855 744 $15K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 188 165 $6K
81003 2,193 1,979 $2K
51798 369 332 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 12 $848.53
99231 Subsequent hospital care, per day, straightforward or low complexity 23 12 $377.54
74018 14 13 $79.68
3008F 446 422 $0.00
3074F 95 92 $0.00
1111F 52 50 $0.00
3078F 182 176 $0.00
1159F 69 66 $0.00
4013F 33 31 $0.00
1160F 69 66 $0.00