Medical East
Medical East was paid $8K by Medicaid between Nov 2019 and Nov 2022, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.
ATHENS, AL 35613
Next to other Family Medicine Physician providers in Alabama
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 53 | $2K | |
| 2020 | 30 | $1K | |
| 2021 | 38 | $3K | |
| 2022 | 49 | $2K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 77% | 88 | 85 | $6K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 13% | 12 | 12 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 6.2% | 46 | 32 | $511.52 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.6% | 12 | 12 | $136.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 12 | 12 | $133.44 |
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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.