Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ATHENS COMMUNITY CARE

NPI: 1063092856 · ATHENS, AL 35613 · Family Medicine Physician · NPI assigned 04/14/2021

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HOLT, SEBRINA controls 19+ related entities in our dataset. Read more

$5K
Total Medicaid Paid
177
Total Claims
165
Beneficiaries
4
Codes Billed
2021-08
First Month
2023-01
Last Month

Provider Details

Authorized OfficialHOLT, SEBRINA (EXECUTIVE DIRECTOR)
NPI Enumeration Date04/14/2021

Related Entities

Other providers sharing the same authorized official: HOLT, SEBRINA

ProviderCityStateTotal Paid
ATHENS LIMESTONE HEALTH SERVICES HARVEST AL $1.33M
MEDWEST CLINIC ATHENS AL $757K
WADDELL CENTER FAMILY MEDICINE ATHENS AL $668K
VALLEY INTERNAL MEDICINE ATHENS AL $207K
VALLEY OBSTETRICS & WOMENS PELVIC HEALTH CENTER ATHENS AL $128K
ROGERSVILLE FAMILY CARE ROGERSVILLE AL $102K
WEST LIMESTONE COMMUNITY CARE ELKMONT AL $33K
ATHENS LIMESTONE PAIN CENTER ATHENS AL $24K
ELKMONT COMMUNITY CARE ELKMONT AL $18K
COVID CLINIC ATHENS AL $17K
ALH HOSPITALIST ATHENS AL $13K
ATHENS LIMESTONE HEALTHCARE INC ATHENS AL $12K
MEDICAL EAST ATHENS AL $8K
LIMESTONE MEDICAL ASSOCIATES ATHENS AL $6K
LHF BILLING ATHENS AL $3K
ATHENS LIMESTONE HEALTH SERVICES ATHENS AL $2K
LIMESTONE INTERNAL MEDICINE CENTER ATHENS AL $1K
CAPSHAW FAMILY CARE HARVEST AL $1K
TANNER COMMUNITY CARE TANNER AL $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 136 $2K
2022 27 $1K
2023 14 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 41 38 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 37 32 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 73 69 $598.40
3078F 26 26 $0.00