Lexington County Health Services District, INC.
Lexington County Health Services District, INC. was paid $1.65M by Medicaid between Jan 2018 and Jan 2021, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
LEXINGTON, SC 29072
Next to other Urgent Care Clinic/Center providers in South Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 14,280 | $548K | |
| 2019 | 15,316 | $598K | |
| 2020 | 11,058 | $451K | |
| 2021 | 1,127 | $55K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 59% | 15,200 | 14,785 | $978K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 6,176 | 6,021 | $280K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 2,532 | 2,493 | $177K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.4% | 5,577 | 2,891 | $73K |
| 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 | 2.4% | 388 | 379 | $40K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 1,759 | 1,719 | $22K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 192 | 183 | $15K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 286 | 280 | $15K |
| 81001 | <1% | 3,747 | 3,632 | $10K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 77 | 73 | $10K |
| 80053 | Comprehensive metabolic panel | <1% | 819 | 781 | $7K |
| 81025 | <1% | 1,018 | 985 | $7K |
12 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 876 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,602 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 56 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 93 | $1K |
| 85027 | <1% | 154 | $767.74 | |
| 83690 | <1% | 87 | $527.02 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 12 | $361.22 |
| 93000 | <1% | 27 | $353.37 | |
| 87081 | <1% | 38 | $115.24 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 14 | $114.26 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 37 | $112.73 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 14 | $109.94 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.