SELF MEDICAL GROUP
NPI: 1376930875
· GREENWOOD, SC 29649
· Family Medicine Physician
· NPI assigned 04/22/2015
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official LOGAN, MATTHEW controls 20+ related entities in our dataset. Read more
$300K
Total Medicaid Paid
Provider Details
| Authorized Official | LOGAN, MATTHEW (PRESIDENT AND CEO) |
| NPI Enumeration Date | 04/22/2015 |
Related Entities
Other providers sharing the same authorized official: LOGAN, MATTHEW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
609 |
$34K |
| 2019 |
476 |
$26K |
| 2020 |
613 |
$38K |
| 2021 |
841 |
$57K |
| 2022 |
629 |
$43K |
| 2023 |
709 |
$50K |
| 2024 |
686 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,655 |
2,442 |
$163K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,755 |
1,669 |
$135K |
| 87428 |
|
17 |
16 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20 |
20 |
$316.87 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$161.60 |
| 85018 |
|
62 |
60 |
$160.18 |
| 81003 |
|
42 |
40 |
$105.38 |