NPI: 1902224876 · LIBERTY, SC 29657 · Family Medicine Physician · NPI assigned 03/28/2014
| Authorized Official | CUNNINGHAM, MICHAEL (CEO) |
| Parent Organization | CANNON MEMORIAL HOSPITAL |
| NPI Enumeration Date | 03/28/2014 |
Other providers sharing the same authorized official: CUNNINGHAM, MICHAEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| CANNON MEMORIAL HOSPITAL | PICKENS | SC | $7.46M |
| CANNON MEMORIAL HOSPITAL | EASLEY | SC | $608K |
| CANNON MEMORIAL HOSPITAL | LIBERTY | SC | $313K |
| 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 | 621 | $41K |
| 2019 | 911 | $59K |
| 2020 | 584 | $38K |
| 2021 | 1,573 | $104K |
| 2022 | 2,229 | $142K |
| 2023 | 1,954 | $149K |
| 2024 | 1,298 | $97K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 4,767 | 4,215 | $337K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,538 | 2,457 | $151K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,579 | 1,553 | $133K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 145 | 144 | $6K |
| 90686 | 85 | 83 | $884.32 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 26 | 26 | $355.15 |
| 90656 | 14 | 14 | $260.30 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 16 | 15 | $37.27 |