Physician
Lexington Health INC
Lexington Health INC was paid $5.68M by Medicaid between Feb 2021 and Dec 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoLEXINGTON HEALTH INC
LEXINGTON, SC 29072
LEXINGTON, SC 29072
33aNPI1619574969assigned 10/08/2020
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$5.68M
24GClaims107,786
24DCodes billed43
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in South Carolina
Rank by total paid#3 of 24
Median peer was paid$76K
This provider vs. median74×
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 | 27,786 | $1.36M | |
| 2022 | 30,529 | $1.60M | |
| 2023 | 28,887 | $1.50M | |
| 2024incomplete | 20,584 | $1.22M |
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 | 44% | 35,963 | 33,105 | $2.48M |
| 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 | 15% | 8,135 | 7,741 | $850K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.5% | 5,620 | 5,212 | $538K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.3% | 4,968 | 4,771 | $526K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 7.5% | 3,002 | 2,933 | $423K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.8% | 13,312 | 12,485 | $384K |
| 87428 | 2.5% | 2,361 | 2,317 | $140K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 1,269 | 1,250 | $137K |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 588 | 586 | $43K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 765 | 737 | $39K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,588 | 2,509 | $31K |
| 90461 | <1% | 5,384 | 5,144 | $27K |
31 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 170 | $20K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,042 | $13K |
| 85018 | <1% | 3,865 | $8K | |
| 81003 | <1% | 2,378 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 57 | $2K |
| 99383 | <1% | 14 | $2K | |
| 87807 | <1% | 154 | $2K | |
| 0072A | <1% | 38 | $2K | |
| 90670 | <1% | 3,342 | $1K | |
| 0071A | <1% | 28 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 136 | $1K |
| 99460 | <1% | 12 | $1K | |
| 90656 | <1% | 369 | $512.96 | |
| 85027 | <1% | 94 | $507.57 | |
| 96127 | <1% | 61 | $453.64 | |
| 90723 | <1% | 2,623 | $350.85 | |
| 90680 | <1% | 2,047 | $302.22 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 47 | $162.33 |
| 90647 | <1% | 2,448 | $62.22 | |
| 82247 | <1% | 16 | $55.41 | |
| 90686 | <1% | 2,559 | $37.50 | |
| 91307 | <1% | 76 | $0.70 | |
| 91300 | <1% | 29 | $0.29 | |
| 90716 | 0% | 553 | $0.00 | |
| 3008F | 0% | 46 | $0.00 | |
| 90651 | 0% | 41 | $0.00 | |
| 90696 | 0% | 16 | $0.00 | |
| 90633 | 0% | 877 | $0.00 | |
| 90707 | 0% | 576 | $0.00 | |
| 90700 | 0% | 90 | $0.00 | |
| 90734 | 0% | 27 | $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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.