Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Lexington Health INC

Lexington Health INC was paid $142K by Medicaid between Jul 2022 and Nov 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider infoLEXINGTON HEALTH INC
WEST COLUMBIA, SC 29169
33aNPI1710634753assigned 03/09/2022
28Total paid$142K
24GClaims6,064
24DCodes billed21
24AFirst – last monthJul 2022 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in South Carolina

Rank by total paid#170 of 696
Median peer was paid$14K
This provider vs. median9.8×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20221,467$42K
20232,588$65K
2024incomplete2,009$35K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37% 1,912 1,764 $53K
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 21% 748 685 $30K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15% 281 260 $21K
20610 12% 1,266 881 $18K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6.9% 217 207 $10K
J1030 Injection, methylprednisolone acetate, 40 mg 3.1% 452 403 $4K
73630 2.0% 219 167 $3K
73502 1.5% 185 162 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 62 58 $990.92
73030 <1% 25 24 $318.09
73110 <1% 16 13 $313.04
73610 <1% 13 13 $206.99
9 more codes
J1010 Injection, methylprednisolone acetate, 1 mg <1% 75 $201.00
J1040 Injection, methylprednisolone acetate, 80 mg <1% 26 $130.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 13 $1.59
3008F 0% 430 $0.00
4010F 0% 15 $0.00
1125F 0% 34 $0.00
4013F 0% 13 $0.00
1160F 0% 31 $0.00
1159F 0% 31 $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 (SR VP/CFO)
Parent organizationLEXINGTON HEALTH INC
Same official

Other billing entities under BRILLHART, JEFFREY

Full network →
ProviderLocationPaid
Lexington Health INCWest Columbia, SC$27.42M
Lexington Health INCLexington, SC$8.67M
Lexington Health INCLexington, SC$5.68M
Lexington Health INCWest Columbia, SC$4.26M
Lexington Health INCLexington, SC$4.00M
Lexington Health INCWest Columbia, SC$3.56M
Lexington Health INCLexington, SC$2.52M
Lexington Health INCSwansea, SC$1.26M
Lexington Health INCWest Columbia, SC$1.18M
Lexington Health INCSwansea, SC$845K
Lexington Health INCWest Columbia, SC$701K
Lexington Health INCChapin, SC$631K
Lexington Health INCWest Columbia, SC$598K
Lexington Health INCBatesburg Leesville, SC$512K
Lexington Health INCWest Columbia, SC$502K
Lexington Health INCWest Columbia, SC$341K
Lexington Health INCWest Columbia, SC$322K
Lexington Health INCWest Columbia, SC$321K
Lexington Health INCWest Columbia, SC$276K
Lexington Health INCWest Columbia, SC$250K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.