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

Lexington Health INC

Lexington Health INC was paid $59K by Medicaid between Feb 2021 and Sep 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.

33Billing provider infoLEXINGTON HEALTH INC
LEXINGTON, SC 29072
33aNPI1821696030assigned 10/12/2020
28Total paid$59K
24GClaims1,147
24DCodes billed3
24AFirst – last monthFeb 2021 – Sep 2024
Compared with peers

Next to other Family Medicine Physician providers in South Carolina

Rank by total paid#244 of 696
Median peer was paid$14K
This provider vs. median4.1×

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$2.0K$4.0K2018201920202021202220232024
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
2021282$15K
2022296$16K
2023364$19K
2024incomplete205$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 70% 615 503 $42K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29% 427 383 $17K
36415 Collection of venous blood by venipuncture <1% 105 94 $143.13

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 (SENIOR 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.