Medicaid Provider Spending

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

MEDICAL EAST

NPI: 1447787528 · ATHENS, AL 35613 · Family Medicine Physician · NPI assigned 05/19/2017

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

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

$8K
Total Medicaid Paid
170
Total Claims
153
Beneficiaries
5
Codes Billed
2019-11
First Month
2022-11
Last Month

Provider Details

Authorized OfficialHOLT, SEBRINA (EXECUTIVE DIRECTOR)
NPI Enumeration Date05/19/2017

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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 53 $2K
2020 30 $1K
2021 38 $3K
2022 49 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 88 85 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 46 32 $511.52
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $136.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $133.44