Lexington Health, INC
Lexington Health, INC was paid $26K by Medicaid between Sep 2022 and Nov 2024, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 72% of everything it billed.
WEST COLUMBIA, SC 29169
Next to other Optometrist 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 | |
|---|---|---|---|
| 2022 | 38 | $3K | |
| 2023 | 345 | $16K | |
| 2024incomplete | 214 | $8K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 72% | 348 | 279 | $19K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 19% | 24 | 24 | $5K |
| 92015 | Determination of refractive state | 5.4% | 198 | 167 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.0% | 12 | 12 | $524.18 |
| 92136 | 1.7% | 15 | 13 | $456.09 |
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 Health INC | West Columbia, SC | $27.42M |
| Lexington Health INC | Lexington, SC | $8.67M |
| Lexington Health INC | Lexington, SC | $5.68M |
| Lexington Health INC | West Columbia, SC | $4.26M |
| Lexington Health INC | Lexington, SC | $4.00M |
| Lexington Health INC | West Columbia, SC | $3.56M |
| Lexington Health INC | Lexington, SC | $2.52M |
| Lexington Health INC | Swansea, SC | $1.26M |
| Lexington Health INC | West Columbia, SC | $1.18M |
| Lexington Health INC | Swansea, SC | $845K |
| Lexington Health INC | West Columbia, SC | $701K |
| Lexington Health INC | Chapin, SC | $631K |
| Lexington Health INC | West Columbia, SC | $598K |
| Lexington Health INC | Batesburg Leesville, SC | $512K |
| Lexington Health INC | West Columbia, SC | $502K |
| Lexington Health INC | West Columbia, SC | $341K |
| Lexington Health INC | West Columbia, SC | $322K |
| Lexington Health INC | West Columbia, SC | $321K |
| Lexington Health INC | West Columbia, SC | $276K |
| Lexington Health INC | West Columbia, SC | $250K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.