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    OpenPayerNPI Medicare & MedicaidLexington Health Inc
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    Lexington Health Inc — Billing Profile & Reimbursement Data

    NPI 1285236083 · Columbia, SC · Ambulatory Surgical Clinic/Center

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    Lexington Health Inc is a ambulatory surgical clinic/center provider located in Columbia, South Carolina. This profile covers 14 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationLexington Health Inc
    Address3016 Longtown Commons Dr Ste 105
    CityColumbia
    StateSC
    ZIP29229
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedNovember 16, 2020

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$230.8K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    49650The provider performs laparoscopic repair of an initial inguinal hernia.20$1,560$32.7K
    19301The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes.30$790$26.8K
    47562The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.10$1,770$24.8K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…40$560$23.6K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…10$1,960$23.5K
    36561A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient.  The catheter's tip must terminate in the…20$990$22.7K
    55700Code deleted December 31, 2025.20$590$13.7K
    28285The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.20$680$12.9K
    26055Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…30$480$12.5K
    52287The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the…20$610$10.9K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    64721326040$400$20.4K
    29827779020$880$20.1K
    4323924427090$120$16.1K
    19301154030$480$14.8K
    28285243030$350$13.2K
    26055507040$260$12.4K
    52287314030$280$9.9K
    49650215020$400$8.4K
    47562275020$450$7.6K
    557006310030$210$7.4K

    Showing 1–10 of 14

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Lexington Health Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lexington Health IncSCGeneral Acute Care Hospital$0$27.4M
    Lexington County Health Services District IncSCGeneral Acute Care Hospital$0$19.2M
    Lexington Health IncSCUrgent Care Clinic/Center$0$8.7M
    Lexington Health IncSCPediatric Adolescent Medicine Physician$0$5.7M
    Lexington Health IncSCEmergency Medicine Physician$0$4.2M
    Lexington County Health ServSCGeneral Acute Care Hospital$0$4M
    Steven MaddenSCHematology & Oncology Physician$4M$0
    Lexington Health IncSCFamily Medicine Physician$0$4M
    Lexington Health IncSCObstetrics & Gynecology Physician$0$3.5M
    Vijaya KorrapatiSCHematology & Oncology Physician$3.4M$0

    Nearby Providers

    Other providers in the same ZIP code as Lexington Health Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    South Carolina Pediatrics Alliance, LLCSCPediatric Adolescent Medicine Physician$0$63.4M
    Kraemer Womens Care, LLCSCObstetrics & Gynecology Physician$0$12.4M
    Firm Foundations Counseling & WellnessSCProfessional Counselor$0$3.6M
    Suneetha MorthalaSCRheumatology Physician$1.1M$0
    Lexington Health IncSCRadiology Clinic/Center$414.9K$13.1K
    William JohnsonSCOphthalmology Physician$303.2K$0
    Carlton CauthenSCPulmonary Disease Physician$212.8K$0
    Jessica HallSCMedical Physician Assistant$105.2K$0
    Amanda WarnerSCFoot Surgery Podiatrist$83.5K$0
    Kimberly MouzonSCAcute Care Nurse Practitioner$74.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. South Carolina Distribution
    Lexington Health Inc — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina