SELF MEDICAL GROUP
NPI: 1588969448
· GREENWOOD, SC 29646
· Nurse Practitioner
· NPI assigned 01/24/2011
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official LOGAN, MATTHEW controls 20+ related entities in our dataset. Read more
$120K
Total Medicaid Paid
Provider Details
| Authorized Official | LOGAN, MATTHEW (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
| Parent Organization | SELF MEDICAL GROUP |
| NPI Enumeration Date | 01/24/2011 |
Related Entities
Other providers sharing the same authorized official: LOGAN, MATTHEW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
321 |
$15K |
| 2019 |
113 |
$6K |
| 2020 |
169 |
$10K |
| 2021 |
288 |
$13K |
| 2022 |
414 |
$21K |
| 2023 |
564 |
$27K |
| 2024 |
597 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,896 |
1,812 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
489 |
445 |
$18K |
| 36415 |
Collection of venous blood by venipuncture |
69 |
61 |
$139.84 |
| 3046F |
|
12 |
12 |
$0.00 |