Physician
Lexington County Health Services District, INC.
Lexington County Health Services District, INC. was paid $2.00M by Medicaid between Jan 2018 and Jan 2021, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoLEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
LEXINGTON, SC 29072
LEXINGTON, SC 29072
33aNPI1861418329assigned 07/15/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$2.00M
24GClaims56,342
24DCodes billed27
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in South Carolina
Rank by total paid#5 of 24
Median peer was paid$76K
This provider vs. median26×
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 KRUZNER, MELINDA controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 19,422 | $628K | |
| 2019 | 13,425 | $445K | |
| 2020 | 21,547 | $841K | |
| 2021 | 1,948 | $85K |
Box 24 · Service lines
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 | 43% | 15,964 | 14,450 | $863K |
| 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 | 19% | 4,567 | 4,279 | $375K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 3,027 | 2,995 | $244K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.6% | 1,945 | 1,939 | $172K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.5% | 7,838 | 7,765 | $109K |
| 90461 | 5.0% | 4,427 | 4,392 | $101K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 472 | 469 | $45K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.1% | 3,107 | 1,565 | $43K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.0% | 401 | 398 | $21K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 604 | 575 | $8K |
| 81003 | <1% | 2,795 | 2,707 | $6K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 45 | 43 | $5K |
15 more codes
| 85018 | <1% | 1,835 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 55 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $1K |
| 87807 | <1% | 54 | $702.58 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 18 | $134.94 |
| 90686 | <1% | 2,930 | $6.66 | |
| 90680 | 0% | 707 | $0.00 | |
| 90647 | 0% | 1,244 | $0.00 | |
| 90723 | 0% | 1,258 | $0.00 | |
| 90716 | 0% | 201 | $0.00 | |
| 90670 | 0% | 2,195 | $0.00 | |
| 90633 | 0% | 335 | $0.00 | |
| 90707 | 0% | 187 | $0.00 | |
| 90681 | 0% | 105 | $0.00 | |
| 90700 | 0% | 13 | $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.
From NPPES
Who's on the registration
Authorized officialKRUZNER, MELINDA (EXECUTIVE VICE PRESIDENT)
Parent organizationLEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
| Provider | Location | Paid |
|---|---|---|
| Lexington County Health Services District INC | Swansea, SC | $317K |
| Lexington County Health Services District, INC. | Batesburg-leesville, SC | $208K |
| Lexington County Health Services District, INC. | Swansea, SC | $154K |
| Lexington County Health Services District, INC. | Chapin, SC | $149K |
| Lexington County Health Services District, INC. | Batesburg-leesville, SC | $137K |
| Lexington County Health Services District, INC. | West Columbia, SC | $74K |
| Lexington County Health Serv | Lexington, SC | $47K |
| Lexington County Health Services District, INC. | Columbia, SC | $42K |
| Lexington County Health Services District, INC.. | West Columbia, SC | $33K |
| Lexington County Health Services District, INC. | Chapin, SC | $22K |
| Lexington County Health Services District, INC. | Columbia, SC | $22K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.