Physician
Lexington Health INC
Lexington Health INC was paid $598K by Medicaid between Feb 2021 and Nov 2024, across 34 billing codes. Its largest line is 96413, Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance — 35% of everything it billed.
33Billing provider infoLEXINGTON HEALTH INC
WEST COLUMBIA, SC 29169
WEST COLUMBIA, SC 29169
33aNPI1932706264assigned 10/09/2020
33bProvider typeHematology & Oncology Physician
28Total paid$598K
24GClaims49,149
24DCodes billed34
24AFirst – last monthFeb 2021 – Nov 2024
Compared with peers
Next to other Hematology & Oncology Physician providers in South Carolina
Rank by total paid#3 of 23
Median peer was paid$72K
This provider vs. median8.3×
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
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 | |
|---|---|---|---|
| 2021 | 10,635 | $142K | |
| 2022 | 15,136 | $221K | |
| 2023 | 11,537 | $133K | |
| 2024incomplete | 11,841 | $101K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 35% | 3,083 | 2,085 | $211K |
| 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% | 2,928 | 2,418 | $116K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.7% | 2,005 | 1,768 | $58K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 8.4% | 11,956 | 9,960 | $50K |
| 96375 | Therapeutic injection; each additional sequential IV push | 4.3% | 1,710 | 1,102 | $26K |
| 80048 | Basic metabolic panel (calcium, ionized) | 4.2% | 5,205 | 4,091 | $25K |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 3.9% | 29 | 26 | $23K |
| 80076 | 3.1% | 4,073 | 3,192 | $18K | |
| 36415 | Collection of venous blood by venipuncture | 2.9% | 11,260 | 9,559 | $17K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 2.7% | 439 | 369 | $16K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.2% | 185 | 61 | $7K |
| 80053 | Comprehensive metabolic panel | <1% | 1,085 | 984 | $6K |
22 more codes
| 82728 | <1% | 479 | $3K | |
| 96417 | <1% | 90 | $3K | |
| 96367 | <1% | 216 | $3K | |
| J1453 | Injection, fosaprepitant, 1 mg | <1% | 111 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 31 | $2K |
| 83550 | <1% | 449 | $2K | |
| J2469 | Injection, palonosetron hcl, 25 mcg | <1% | 173 | $2K |
| 83540 | <1% | 462 | $2K | |
| J1756 | Injection, iron sucrose, 1 mg | <1% | 17 | $1K |
| 83735 | <1% | 234 | $871.34 | |
| J1626 | Injection, granisetron hydrochloride, 100 mcg | <1% | 103 | $851.04 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 17 | $826.78 |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 438 | $376.10 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 24 | $241.93 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 120 | $239.89 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 191 | $161.36 |
| 3078F | 0% | 630 | $0.00 | |
| 1160F | 0% | 41 | $0.00 | |
| 1159F | 0% | 41 | $0.00 | |
| 3074F | 0% | 452 | $0.00 | |
| 3008F | 0% | 853 | $0.00 | |
| 3079F | 0% | 19 | $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 officialBRILLHART, JEFFREY (SENIOR VP/CFO)
Parent organizationLEXINGTON HEALTH INC
| 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 | 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 |
| Lexington Health INC | Batesburg Leesville, SC | $239K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.