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NPI 1497352934 · Lexington, SC · Ambulatory Surgical Clinic/Center
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Lexington Health Inc is a ambulatory surgical clinic/center provider located in Lexington, South Carolina. This profile covers 19 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Lexington Health Inc |
| Address | 811 W Main St |
| City | Lexington |
| State | SC |
| ZIP | 29072 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | October 7, 2020 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $547.6K |
| Medicaid | $10.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 140 | $750 | $107.4K |
| 29828 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps… | 40 | $2,240 | $87.3K |
| 29827 | The 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… | 40 | $1,570 | $64.3K |
| 64721 | Neuroplasty 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… | 100 | $600 | $62K |
| 36561 | A 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… | 30 | $1,010 | $31.2K |
| 26055 | Trigger 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… | 60 | $460 | $27.6K |
| 49505 | The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it. | 20 | $1,120 | $20.2K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 60 | $360 | $19.8K |
| 29823 | The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the… | 30 | $620 | $19.1K |
| 29807 | The provider examines the tissue inside the shoulder joint with an arthroscope to treat a suspected tear of the lining of the shoulder socket. She inserts instruments through the arthroscope to make… | 10 | $1,190 | $15.5K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 155 | 270 | 210 | $170 | $141.3K |
| 45385 | 203 | 270 | 90 | $270 | $36.9K |
| 64721 | 5 | 60 | 40 | $400 | $20.4K |
| 29827 | 6 | 90 | 20 | $880 | $20.1K |
| 45380 | 138 | 260 | 60 | $170 | $18.9K |
| 43239 | 208 | 270 | 90 | $120 | $16.1K |
| 29880 | 10 | 20 | 20 | $710 | $15.6K |
| 29828 | 1 | 40 | 20 | $710 | $14.2K |
| 29881 | 14 | 30 | 20 | $620 | $13.7K |
| 43450 | 72 | 80 | 50 | $140 | $12.6K |
Showing 1–10 of 19
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 64721 | Neuroplasty 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 | $160 | $6.3K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 20 | $180 | $4.4K |
| V2632 | Posterior chamber intraocular lens | 50 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Carolina median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 40 | 50 | 480 | $160 | $147.9K |
| V2632 | Posterior chamber intraocular lens | 8 | 10 | 60 | $50 | $11.9K |
| 64721 | Neuroplasty 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… | 3 | 10 | 50 | $70 | $3.6K |
Other providers in the same ZIP code as Lexington Health Inc, ranked by combined Medicare and Medicaid revenue.
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