Self Medical Group
Self Medical Group was paid $3.28M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
GREENWOOD, SC 29646
Next to other Mental Health Counselor 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 | |
|---|---|---|---|
| 2018 | 7,876 | $308K | |
| 2019 | 6,780 | $283K | |
| 2020 | 7,626 | $361K | |
| 2021 | 10,273 | $590K | |
| 2022 | 11,101 | $608K | |
| 2023 | 11,075 | $619K | |
| 2024incomplete | 7,920 | $511K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 54% | 27,676 | 25,513 | $1.76M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 10,109 | 9,888 | $350K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.8% | 2,574 | 2,544 | $255K |
| 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 | 7.2% | 2,527 | 2,419 | $237K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.0% | 2,497 | 2,435 | $228K |
| 87428 | 5.3% | 2,733 | 2,670 | $173K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.9% | 1,767 | 1,713 | $96K |
| 90461 | 2.0% | 2,853 | 2,792 | $66K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 309 | 309 | $32K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,075 | 850 | $24K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,399 | 1,368 | $19K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 289 | 284 | $12K |
21 more codes
| 87807 | <1% | 954 | $11K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,073 | $8K |
| 96161 | <1% | 530 | $4K | |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 52 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 44 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $1K |
| 96127 | <1% | 57 | $363.71 | |
| 90677 | <1% | 180 | $309.35 | |
| 96380 | <1% | 12 | $228.68 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 15 | $196.56 |
| 99177 | <1% | 38 | $182.60 | |
| 85018 | <1% | 62 | $166.35 | |
| 90686 | <1% | 1,906 | $153.88 | |
| 96160 | <1% | 13 | $116.11 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 42 | $99.41 |
| 90656 | <1% | 95 | $15.17 | |
| 90670 | <1% | 621 | $0.07 | |
| 90647 | <1% | 323 | $0.06 | |
| 90680 | <1% | 359 | $0.04 | |
| 90723 | <1% | 413 | $0.04 | |
| 90633 | <1% | 41 | $0.01 |
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 | $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 |
| 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.