Medicaid Provider Spending

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

VALLEY INTERNAL MEDICINE

NPI: 1831547355 · ATHENS, AL 35613 · Internal Medicine Physician · NPI assigned 05/25/2016

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

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

$207K
Total Medicaid Paid
5,969
Total Claims
5,340
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialHOLT, SEBRINA (EXECUTIVE DIRECTOR)
NPI Enumeration Date05/25/2016

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,700 $21K
2019 1,646 $26K
2020 844 $34K
2021 615 $44K
2022 637 $48K
2023 430 $28K
2024 97 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,770 3,330 $202K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 345 266 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31 28 $2K
99490 Ccm add 20min 554 535 $727.57
90686 43 43 $456.72
36415 Collection of venous blood by venipuncture 220 212 $52.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 36 29 $43.37
4040F 286 263 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 269 249 $0.00
G8484 Influenza immunization was not administered, reason not given 261 242 $0.00
1036F 141 130 $0.00
G0008 Administration of influenza virus vaccine 13 13 $0.00