Physician
Athens Limestone Health Services
Athens Limestone Health Services was paid $1.33M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoATHENS LIMESTONE HEALTH SERVICES
HARVEST, AL 35749
HARVEST, AL 35749
33aNPI1104108208assigned 09/14/2011
33bProvider typePediatrics Physician
28Total paid$1.33M
24GClaims32,934
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#82 of 199
Median peer was paid$702K
This provider vs. median1.9×
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 HOLT, SEBRINA controls 19+ 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 | |
|---|---|---|---|
| 2018 | 3,040 | $149K | |
| 2019 | 4,469 | $203K | |
| 2020 | 3,419 | $154K | |
| 2021 | 4,307 | $198K | |
| 2022 | 5,809 | $233K | |
| 2023 | 5,904 | $252K | |
| 2024incomplete | 5,986 | $145K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 51% | 11,729 | 9,747 | $676K |
| 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 | 15% | 2,474 | 2,265 | $206K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.3% | 1,554 | 1,472 | $97K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.5% | 1,376 | 1,304 | $86K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.4% | 1,170 | 1,128 | $73K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.0% | 2,623 | 1,276 | $26K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 353 | 333 | $22K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 1,628 | 1,468 | $20K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 1,352 | 1,288 | $17K |
| 90670 | 1.2% | 858 | 824 | $16K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 519 | 489 | $13K |
| 90648 | <1% | 738 | 689 | $12K |
31 more codes
| 92552 | <1% | 630 | $12K | |
| 90686 | <1% | 584 | $10K | |
| 90723 | <1% | 344 | $6K | |
| 90633 | <1% | 334 | $5K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 82 | $5K |
| 90680 | <1% | 287 | $4K | |
| 99460 | <1% | 59 | $4K | |
| 99173 | <1% | 742 | $3K | |
| 96127 | <1% | 694 | $3K | |
| 90651 | <1% | 191 | $3K | |
| 69210 | <1% | 94 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 53 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 73 | $2K |
| 90734 | <1% | 55 | $989.50 | |
| 90656 | <1% | 119 | $880.00 | |
| 87807 | <1% | 90 | $792.00 | |
| 90671 | <1% | 82 | $624.00 | |
| 90685 | <1% | 32 | $573.91 | |
| 90647 | <1% | 30 | $573.91 | |
| 90710 | <1% | 34 | $554.12 | |
| 90658 | <1% | 32 | $514.54 | |
| 90696 | <1% | 32 | $514.54 | |
| 90677 | <1% | 55 | $461.48 | |
| 96160 | <1% | 213 | $432.18 | |
| 90649 | <1% | 13 | $217.69 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 46 | $71.80 |
| 3078F | 0% | 737 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 23 | $0.00 |
| 90461 | 0% | 19 | $0.00 | |
| 3074F | 0% | 766 | $0.00 | |
| 3079F | 0% | 15 | $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 officialHOLT, SEBRINA (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| 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 |
| Athens Community Care | Athens, AL | $5K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.