Physician
Medwest Clinic
Medwest Clinic was paid $757K by Medicaid between Sep 2018 and Nov 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 79% of everything it billed.
33Billing provider infoMEDWEST CLINIC
ATHENS, AL 35611
ATHENS, AL 35611
33aNPI1942602412assigned 09/16/2014
33bProvider typeFamily Medicine Physician
28Total paid$757K
24GClaims19,351
24DCodes billed28
24AFirst – last monthSep 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#61 of 455
Median peer was paid$57K
This provider vs. median13×
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 | 982 | $26K | |
| 2019 | 3,312 | $125K | |
| 2020 | 1,778 | $86K | |
| 2021 | 2,264 | $136K | |
| 2022 | 3,110 | $147K | |
| 2023 | 3,334 | $139K | |
| 2024incomplete | 4,571 | $98K |
Box 24 · Service lines
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 | 79% | 8,586 | 7,236 | $597K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.9% | 666 | 589 | $30K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 567 | 496 | $22K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.8% | 2,207 | 1,013 | $22K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 420 | 387 | $20K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.9% | 1,291 | 1,139 | $15K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 375 | 298 | $14K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 434 | 405 | $10K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 948 | 869 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 128 | 122 | $6K |
| 92552 | <1% | 249 | 238 | $5K | |
| 96127 | <1% | 454 | 426 | $2K |
16 more codes
| 90670 | <1% | 170 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $1K |
| 99173 | <1% | 279 | $968.00 | |
| 87807 | <1% | 98 | $737.00 | |
| 90698 | <1% | 137 | $724.22 | |
| 90686 | <1% | 29 | $435.38 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $344.90 |
| 90633 | <1% | 16 | $257.27 | |
| 81003 | <1% | 90 | $234.44 | |
| 90649 | <1% | 14 | $138.53 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 17 | $93.60 |
| 90680 | <1% | 33 | $48.00 | |
| 3074F | 0% | 953 | $0.00 | |
| 3075F | 0% | 57 | $0.00 | |
| 3078F | 0% | 1,008 | $0.00 | |
| 96160 | 0% | 97 | $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 |
|---|---|---|
| Athens Limestone Health Services | Harvest, AL | $1.33M |
| 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.