Medicaid Provider Spending

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

LEXINGTON HEALTH INC

NPI: 1619574969 · LEXINGTON, SC 29072 · Pediatric Adolescent Medicine Physician · NPI assigned 10/08/2020

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

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

$5.68M
Total Medicaid Paid
107,786
Total Claims
101,402
Beneficiaries
43
Codes Billed
2021-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBRILLHART, JEFFREY (SENIOR VP/CFO)
Parent OrganizationLEXINGTON HEALTH INC
NPI Enumeration Date10/08/2020

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 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
LEXINGTON HEALTH INC BATESBURG LEESVILLE SC $239K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 27,786 $1.36M
2022 30,529 $1.60M
2023 28,887 $1.50M
2024 20,584 $1.22M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35,963 33,105 $2.48M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,135 7,741 $850K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,620 5,212 $538K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,968 4,771 $526K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 3,002 2,933 $423K
90460 Immunization administration through 18 years of age via any route, first or only component 13,312 12,485 $384K
87428 2,361 2,317 $140K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,269 1,250 $137K
G9153 Mapcp demonstration - physician incentive pool 588 586 $43K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 765 737 $39K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,588 2,509 $31K
90461 5,384 5,144 $27K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 170 168 $20K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,042 514 $13K
85018 3,865 3,713 $8K
81003 2,378 2,302 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 57 53 $2K
99383 14 14 $2K
87807 154 154 $2K
0072A 38 38 $2K
90670 3,342 3,256 $1K
0071A 28 28 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 136 134 $1K
99460 12 12 $1K
90656 369 356 $512.96
85027 94 93 $507.57
96127 61 56 $453.64
90723 2,623 2,546 $350.85
90680 2,047 1,986 $302.22
36415 Collection of venous blood by venipuncture 47 43 $162.33
90647 2,448 2,363 $62.22
82247 16 13 $55.41
90686 2,559 2,510 $37.50
91307 76 76 $0.70
91300 29 29 $0.29
90716 553 537 $0.00
3008F 46 37 $0.00
90651 41 39 $0.00
90696 16 16 $0.00
90633 877 855 $0.00
90707 576 559 $0.00
90700 90 87 $0.00
90734 27 25 $0.00