Medicaid Provider Spending

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

ATHENS LIMESTONE PAIN CENTER

NPI: 1689063851 · ATHENS, AL 35611 · Pain Medicine Physician · NPI assigned 01/12/2015

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

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

$24K
Total Medicaid Paid
2,641
Total Claims
2,274
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialHOLT, SEBRINA (EXECUTIVE DIRECTOR)
NPI Enumeration Date01/12/2015

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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,144 $3K
2019 319 $3K
2020 404 $3K
2021 311 $5K
2022 258 $5K
2023 150 $4K
2024 55 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,844 1,544 $24K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 50 45 $736.82
1036F 70 62 $0.00
4004F 35 29 $0.00
4040F 238 219 $0.00
G8484 Influenza immunization was not administered, reason not given 133 122 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 259 241 $0.00
3078F 12 12 $0.00