NPI: 1750304135 · LIBERTY, SC 29657 · Family Medicine Physician · NPI assigned 07/26/2006
| Authorized Official | CUNNINGHAM, MICHAEL (CEO) |
| Parent Organization | CANNON MEMORIAL HOSPITAL |
| NPI Enumeration Date | 07/26/2006 |
Other providers sharing the same authorized official: CUNNINGHAM, MICHAEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| CANNON MEMORIAL HOSPITAL | PICKENS | SC | $7.46M |
| CANNON MEMORIAL HOSPITAL | LIBERTY | SC | $629K |
| CANNON MEMORIAL HOSPITAL | EASLEY | SC | $608K |
| FLORIDA KEYS AREA HEALTH EDUCATION CENTER, INC. | MARATHON | FL | $137K |
| CANNON MEMORIAL HOSPITAL | PICKENS | SC | $96K |
| CANNON MEMORIAL HOSPITAL | PICKENS | SC | $47K |
| FLORIDA KEYS AREA HEALTH EDUCATION CENTER, INC. | MARATHON | FL | $35K |
| CANNON MEMORIAL HOSPITAL | CLEMSON | SC | $5K |
| CANNON MEMORIAL HOSPITAL | PICKENS | SC | $589.94 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,288 | $112K |
| 2019 | 1,907 | $99K |
| 2020 | 1,192 | $67K |
| 2021 | 518 | $36K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4,797 | 4,468 | $263K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 459 | 446 | $38K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 396 | 378 | $7K |
| 90461 | 87 | 77 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13 | 13 | $1K |
| 90686 | 89 | 89 | $799.58 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 52 | 28 | $775.58 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 12 | 12 | $183.40 |