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SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE

Clinic/Center, Mental Health (Including Community Mental Health Center)·GREENVILLE, SC·NPI: 1013476787Share

Compared to Clinic/Center, Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $61.9M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2019-07→2024-11(65 months)

Total Paid

$61.9M

$61,931,606

Total Claims

509K

Beneficiaries

344K

1.5 claims/patient

Avg Cost/Claim

$122

Monthly Spending Trend

Yearly Spending

2019
$7.0M
+74%
2020
$12.3M
-5%
2021
$11.7M
+1%
2022
$11.8M
-6%
2023
$11.1M
-29%
2024
$7.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 22% of total spending.

90834Top 5%

Psychotherapy, 45 minutes

$13.8M

92K claims · 22.3%

Your Cost: $150.06/claim|Median: $63.65
2.4× median
H0031Normal range

Mental health assessment by non-physician

$10.8M

71K claims · 17.4%

Your Cost: $152.33/claim|Median: $96.18
1.6× median
90837Top 5%

Psychotherapy, 60 minutes

$10.0M

53K claims · 16.1%

Your Cost: $188.57/claim|Median: $85.66
2.2× median
99214Top 5%

Office/outpatient visit, est. patient, mod-high complexity

$6.7M

41K claims · 10.8%

Your Cost: $163.83/claim|Median: $53.41
3.1× median
T1002Normal range

RN services, per 15 minutes

$4.4M

67K claims · 7.1%

Your Cost: $65.79/claim|Median: $37.42
1.8× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$4.4M

8,739 claims · 7.0%

Your Cost: $499.38/claim|Median: $108.91
4.6× median
90853Top 10%

Group psychotherapy

$2.1M

33K claims · 3.4%

Your Cost: $63.45/claim|Median: $25.02
2.5× median
90847Top 5%

Family psychotherapy with patient, 50 min

$1.9M

8,328 claims · 3.1%

Your Cost: $227.32/claim|Median: $77.33
2.9× median
90832Top 25%

Psychotherapy, 30 minutes

$1.8M

25K claims · 3.0%

Your Cost: $72.66/claim|Median: $41.28
1.8× median
90846Top 5%

Family psychotherapy without patient, 50 min

$1.7M

7,613 claims · 2.8%

Your Cost: $227.00/claim|Median: $76.61
3.0× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$1.6M

38K claims · 2.6%

Your Cost: $42.45/claim|Median: $91.63
0.5× median
99213Top 5%

Office/outpatient visit, est. patient, low-mod complexity

$772K

8,443 claims · 1.2%

Your Cost: $91.43/claim|Median: $37.81
2.4× median
H0032Normal range

Mental health service plan development

$482K

11K claims · 0.8%

Your Cost: $42.21/claim|Median: $80.64
0.5× median
H2011Normal range

Crisis intervention service, per 15 minutes

$342K

1,787 claims · 0.6%

Your Cost: $191.17/claim|Median: $215.80
0.9× median
99367Top 10%

$307K

3,871 claims · 0.5%

Your Cost: $79.35/claim|Median: $35.65
2.2× median
H0038Normal range

Self-help/peer services, per 15 minutes

$251K

4,614 claims · 0.4%

Your Cost: $54.49/claim|Median: $55.04
1.0× median
99366Top 25%

$202K

2,545 claims · 0.3%

Your Cost: $79.33/claim|Median: $37.02
2.1× median
J1631Normal range

$123K

4,243 claims · 0.2%

Your Cost: $29.10/claim|Median: $15.34
1.9× median
99215Top 5%

Office/outpatient visit, high complexity

$122K

583 claims · 0.2%

Your Cost: $209.39/claim|Median: $74.09
2.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$71K

22K claims · 0.1%

Your Cost: $3.17/claim|Median: $9.56
0.3× median
H2014Top 10%

Skills training & development, per 15 min

$62K

186 claims · 0.1%

Your Cost: $333.78/claim|Median: $83.88
4.0× median
J2680Normal range

$22K

1,752 claims · 0.0%

Your Cost: $12.70/claim|Median: $13.86
0.9× median
J2426Normal range

$26

2,643 claims · 0.0%

Your Cost: $0.01/claim|Median: $625.59
0.0× median
J0401Normal range

$2

239 claims · 0.0%

Your Cost: $0.01/claim|Median: $714.38
0.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$0

108 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.93

Other Top Providers in South Carolina

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Medical University Hospital Authority

General Acute Care Hospital

$241.4M

Spartanburg Medical Center

Ambulance

$187.8M

Prisma Health University Medical Group

Internal Medicine

$172.2M

Similar Providers

Other top providers in Clinic/Center, Mental Health (Including Community Mental Health Center)

Los Angeles County Department of Mental Health

Los Angeles, CA

$6.78B

County of Sonoma

Santa Rosa, CA

$195.1M

County of Washtenaw

Ypsilanti, MI

$153.3M

County of Muskegon

Muskegon, MI

$151.1M

Fraser Child and Family Center

Minneapolis, MN

$149.8M

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