NPI: 1467825166 · DUE WEST, SC 29639 · Rural Health Clinic/Center · NPI assigned 11/04/2015
Authorized official LOGAN, MATTHEW controls 20+ related entities in our dataset. Read more
| Authorized Official | LOGAN, MATTHEW (PRESIDENT/CEO) |
| Parent Organization | ABBEVILLE COUNTY MEMORIAL HOSPITAL |
| NPI Enumeration Date | 11/04/2015 |
Other providers sharing the same authorized official: LOGAN, MATTHEW
| Provider | City | State | Total Paid |
|---|---|---|---|
| SELF REGIONAL HEALTHCARE | GREENWOOD | SC | $58.94M |
| SELF MEDICAL GROUP | GREENWOOD | SC | $6.00M |
| SELF MEDICAL GROUP | GREENWOOD | SC | $3.28M |
| SELF MEDICAL GROUP | GREENWOOD | SC | $2.61M |
| SELF REGIONAL HEALTHCARE | GREENWOOD | SC | $2.32M |
| SELF MEDICAL GROUP | LAURENS | SC | $2.19M |
| SELF REGIONAL HEALTHCARE | GREENWOOD | SC | $1.68M |
| SELF REGIONAL HEALTHCARE PARTNERS | EDGEFIELD | SC | $1.57M |
| ABBEVILLE COUNTY MEMORIAL HOSPITAL | ABBEVILLE | SC | $1.42M |
| ABBEVILLE COUNTY MEMORIAL HOSPITAL | ABBEVILLE | SC | $1.13M |
| SELF MEDICAL GROUP | GREENWOOD | SC | $1.05M |
| SELF REGIONAL HEALTHCARE PARTNERS | EDGEFIELD | SC | $997K |
| SELF MEDICAL GROUP | LAURENS | SC | $806K |
| SELF MEDICAL GROUP | GREENWOOD | SC | $721K |
| SELF MEDICAL GROUP | WARE SHOALS | SC | $534K |
| SELF MEDICAL GROUP | SALUDA | SC | $489K |
| SELF MEDICAL GROUP | GREENWOOD | SC | $462K |
| SELF MEDICAL GROUP | SALUDA | SC | $403K |
| ABBEVILLE COUNTY MEMORIAL HOSPITAL | ABBEVILLE | SC | $375K |
| SELF MEDICAL GROUP | NEWBERRY | SC | $319K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 487 | $34K |
| 2019 | 669 | $39K |
| 2020 | 970 | $59K |
| 2021 | 2,654 | $160K |
| 2022 | 2,913 | $175K |
| 2023 | 2,457 | $165K |
| 2024 | 1,699 | $119K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3,186 | 2,960 | $250K |
| T1015 | Clinic visit/encounter, all-inclusive | 3,906 | 2,902 | $234K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3,915 | 3,586 | $210K |
| 90837 | Psychotherapy, 53 minutes with patient | 442 | 391 | $47K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 224 | 223 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 27 | 27 | $3K |
| 90674 | 26 | 25 | $548.68 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 29 | 27 | $115.32 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 13 | 13 | $44.64 |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 56 | 53 | $0.00 |
| 90686 | 25 | 25 | $0.00 |