Lexington Clinic Corp
Lexington Clinic Corp was paid $74K by Medicaid between May 2021 and Nov 2024, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 40% of everything it billed.
LEXINGTON, TN 38351
Next to other Internal Medicine Physician providers in Tennessee
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 | |
|---|---|---|---|
| 2021 | 794 | $11K | |
| 2022 | 676 | $6K | |
| 2023 | 3,752 | $33K | |
| 2024incomplete | 2,075 | $24K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 40% | 2,899 | 717 | $29K |
| 99223 | Prolong inpt eval add15 m | 29% | 857 | 582 | $21K |
| 99239 | Hospital discharge day management, more than 30 minutes | 20% | 1,053 | 729 | $15K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 11% | 2,422 | 1,993 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 21 | 15 | $688.36 |
| 71045 | Radiologic examination, chest; single view | <1% | 45 | 26 | $7.44 |
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
| Provider | Location | Paid |
|---|---|---|
| Lexington Hospital Corporation | Lexington, TN | $4.74M |
| Lexington Hospital Corporation | Lexington, TN | $2.24M |
| Ambulance Services of Lexington, INC. | Lexington, TN | $2.02M |
| Roland Public Schools | Roland, OK | $574K |
| Haywood County Community Hospital INC | Brownsville, TN | $491K |
| Houston County Community Hospital | Erin, TN | $416K |
| Lexington Hospital Corporation | Lexington, TN | $379K |
| Shamrock Community Hospital INC | Erin, TN | $315K |
| Decatur County General Hospital | Parsons, TN | $216K |
| Houston County Community Hospital | Erin, TN | $94K |
| Scotts Hill Clinic, INC. | Lexington, TN | $73K |
| Lexington Hospital Corporation | Brownsville, TN | $13K |
| Lexington Family Physicians LLC | Lexington, TN | $11K |
| Lexington Hospital Corporation | Lexington, TN | $953.55 |
| Shamrock Community Hospital INC | Erin, TN | $586.76 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.