SELF MEDICAL GROUP
NPI: 1629382056
· MCCORMICK, SC 29835
· Family Medicine Physician
· NPI assigned 07/27/2010
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official LOGAN, MATTHEW controls 20+ related entities in our dataset. Read more
$722.09
Total Medicaid Paid
Provider Details
| Authorized Official | LOGAN, MATTHEW (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
| NPI Enumeration Date | 07/27/2010 |
Related Entities
Other providers sharing the same authorized official: LOGAN, MATTHEW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
13 |
$273.13 |
| 2021 |
13 |
$448.96 |
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 |
26 |
25 |
$722.09 |