Lexington County Health Services District, INC.
Lexington County Health Services District, INC. was paid $249K by Medicaid between Jan 2018 and Jan 2021, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
WEST COLUMBIA, SC 29169
Next to other Hematology & Oncology Physician 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 | 11,167 | $95K | |
| 2019 | 6,524 | $58K | |
| 2020 | 6,856 | $70K | |
| 2021 | 1,410 | $26K |
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 | 34% | 2,969 | 2,711 | $84K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 19% | 646 | 390 | $47K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 15% | 7,622 | 5,375 | $38K |
| 80048 | Basic metabolic panel (calcium, ionized) | 6.8% | 2,998 | 2,087 | $17K |
| 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 | 6.6% | 264 | 196 | $16K |
| 36415 | Collection of venous blood by venipuncture | 4.6% | 7,605 | 5,376 | $11K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.7% | 291 | 108 | $9K |
| 80053 | Comprehensive metabolic panel | 3.0% | 1,163 | 1,050 | $7K |
| 80076 | 2.9% | 1,511 | 1,084 | $7K | |
| J1453 | Injection, fosaprepitant, 1 mg | 1.4% | 27 | 13 | $4K |
| 96375 | Therapeutic injection; each additional sequential IV push | 1.2% | 180 | 114 | $3K |
| J2469 | Injection, palonosetron hcl, 25 mcg | <1% | 46 | 30 | $1K |
12 more codes
| 96417 | <1% | 21 | $742.57 | |
| 96367 | <1% | 46 | $635.45 | |
| 82728 | <1% | 60 | $498.54 | |
| J1626 | Injection, granisetron hydrochloride, 100 mcg | <1% | 24 | $458.76 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 22 | $393.10 |
| 83550 | <1% | 47 | $279.93 | |
| 83540 | <1% | 47 | $207.69 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 78 | $194.31 |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 150 | $131.07 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 106 | $104.71 |
| 83735 | <1% | 22 | $91.55 | |
| 3078F | 0% | 12 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.