Medicaid Provider Spending

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

LEXINGTON HEALTH INC

NPI: 1710634753 · WEST COLUMBIA, SC 29169 · Family Medicine Physician · NPI assigned 03/09/2022

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

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

$142K
Total Medicaid Paid
6,064
Total Claims
5,258
Beneficiaries
21
Codes Billed
2022-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBRILLHART, JEFFREY (SR VP/CFO)
Parent OrganizationLEXINGTON HEALTH INC
NPI Enumeration Date03/09/2022

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
2022 1,467 $42K
2023 2,588 $65K
2024 2,009 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,912 1,764 $53K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 748 685 $30K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 281 260 $21K
20610 1,266 881 $18K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 217 207 $10K
J1030 Injection, methylprednisolone acetate, 40 mg 452 403 $4K
73630 219 167 $3K
73502 185 162 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 62 58 $990.92
73030 25 24 $318.09
73110 16 13 $313.04
73610 13 13 $206.99
J1010 Injection, methylprednisolone acetate, 1 mg 75 64 $201.00
J1040 Injection, methylprednisolone acetate, 80 mg 26 26 $130.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 13 12 $1.59
3008F 430 410 $0.00
4010F 15 13 $0.00
1125F 34 33 $0.00
4013F 13 13 $0.00
1160F 31 25 $0.00
1159F 31 25 $0.00