Self Regional Healthcare Partners
Self Regional Healthcare Partners was paid $997K by Medicaid between Jan 2019 and Nov 2024, across 18 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 54% of everything it billed.
EDGEFIELD, SC 29824
Next to other Critical Access Hospital providers in South Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 842 | $49K | |
| 2020 | 1,013 | $44K | |
| 2021 | 3,598 | $150K | |
| 2022 | 3,896 | $200K | |
| 2023 | 4,243 | $275K | |
| 2024incomplete | 3,317 | $280K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 54% | 7,402 | 6,251 | $543K |
| 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 | 26% | 2,951 | 2,812 | $262K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 3,182 | 2,984 | $167K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 143 | 136 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,203 | 2,064 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 106 | 103 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 28 | 27 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 197 | 194 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 27 | 27 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 12 | 12 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | 13 | $897.77 |
| 85018 | <1% | 311 | 298 | $691.48 |
6 more codes
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 13 | $667.03 |
| 81002 | <1% | 225 | $576.29 | |
| 90461 | <1% | 27 | $360.36 | |
| 90686 | <1% | 41 | $275.26 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 16 | $166.26 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $44.80 |
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.
Who's on the registration
| Provider | Location | 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 Medical Group | Laurens, SC | $806K |
| Abbeville County Memorial Hospital | Due West, SC | $751K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.