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

Lexington Health INC

Lexington Health INC was paid $239K by Medicaid between Mar 2021 and Nov 2024, across 9 billing codes. Its largest line is 87637, Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV — 85% of everything it billed.

33Billing provider infoLEXINGTON HEALTH INC
BATESBURG LEESVILLE, SC 29070
33aNPI1891392221assigned 10/08/2020
28Total paid$239K
24GClaims4,107
24DCodes billed9
24AFirst – last monthMar 2021 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in South Carolina

Rank by total paid#130 of 696
Median peer was paid$14K
This provider vs. median17×

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$10K$20K$30K2018201920202021202220232024
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
20211,166$59K
20221,481$90K
2023855$55K
2024incomplete605$35K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 85% 1,746 1,723 $203K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 7.9% 364 359 $19K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4.8% 1,094 1,079 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 195 97 $2K
85027 <1% 227 199 $941.14
80053 Comprehensive metabolic panel <1% 116 107 $863.78
80061 Lipid panel <1% 68 61 $574.11
81001 <1% 250 243 $561.60
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 47 41 $283.65

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.