Nursing facility
Lexington Healthcare LLC
Lexington Healthcare LLC was paid $70K by Medicaid between Aug 2018 and Mar 2023, across 5 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 49% of everything it billed.
33Billing provider infoLEXINGTON HEALTHCARE LLC
WEST ALLIS, WI 53214
WEST ALLIS, WI 53214
33aNPI1598750671assigned 09/15/2005
33bProvider typeSkilled Nursing Facility
28Total paid$70K
24GClaims2,885
24DCodes billed5
24AFirst – last monthAug 2018 – Mar 2023
Compared with peers
Next to other Skilled Nursing Facility providers in Wisconsin
Rank by total paid#3 of 108
Median peer was paid$5K
This provider vs. median13×
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.
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 | 584 | $15K | |
| 2020 | 861 | $17K | |
| 2021 | 1,345 | $38K | |
| 2023 | 95 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 49% | 1,369 | 183 | $35K |
| 97535 | Self-care/home management training, each 15 minutes | 27% | 780 | 117 | $19K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 15% | 463 | 74 | $11K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 6.8% | 185 | 39 | $5K |
| 97116 | 1.6% | 88 | 12 | $1K |
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 officialCAMPBELL, BRENDA (ACCOUNTS RECEIVABLE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Siena Woods Care Center | Dayton, OH | $938K |
| Bradford Place Care Center | Hamilton, OH | $927K |
| Delaware Health Corporation | Wilmington, DE | $22K |
| Delaware Health Corporation | Lewes, DE | $8K |
| Park View Operating Company LLC | Edgerton, OH | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.