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SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE

Clinic/Center, Mental Health (Including Community Mental Health Center)·ORANGEBURG, SC·NPI: 1164457735Share

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 $20.7M is at the 50th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$20.7M

$20,676,213

Total Claims

151K

Beneficiaries

123K

1.2 claims/patient

Avg Cost/Claim

$137

Monthly Spending Trend

Yearly Spending

2018
$3.0M
-5%
2019
$2.9M
-6%
2020
$2.7M
+6%
2021
$2.9M
+4%
2022
$3.0M
+14%
2023
$3.4M
-20%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 19% of total spending.

90834Top 5%

Psychotherapy, 45 minutes

$4.0M

27K claims · 19.2%

Your Cost: $147.74/claim|Median: $63.65
2.3× median
H0031Top 25%

Mental health assessment by non-physician

$3.8M

23K claims · 18.3%

Your Cost: $166.42/claim|Median: $96.18
1.7× median
90837Top 5%

Psychotherapy, 60 minutes

$3.3M

17K claims · 16.0%

Your Cost: $194.65/claim|Median: $85.66
2.3× median
99214Top 5%

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

$2.8M

17K claims · 13.8%

Your Cost: $171.80/claim|Median: $53.41
3.2× median
90847Top 5%

Family psychotherapy with patient, 50 min

$1.8M

7,686 claims · 8.7%

Your Cost: $232.75/claim|Median: $77.33
3.0× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$1.4M

3,018 claims · 6.9%

Your Cost: $474.77/claim|Median: $108.91
4.4× median
90846Top 5%

Family psychotherapy without patient, 50 min

$1.2M

4,985 claims · 5.6%

Your Cost: $232.90/claim|Median: $76.61
3.0× median
90832Top 25%

Psychotherapy, 30 minutes

$875K

12K claims · 4.2%

Your Cost: $71.75/claim|Median: $41.28
1.7× median
99213Top 5%

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

$474K

5,460 claims · 2.3%

Your Cost: $86.79/claim|Median: $37.81
2.3× median
99366Top 25%

$401K

5,252 claims · 1.9%

Your Cost: $76.35/claim|Median: $37.02
2.1× median
T1002Normal range

RN services, per 15 minutes

$271K

6,255 claims · 1.3%

Your Cost: $43.25/claim|Median: $37.42
1.2× median
99215Top 5%

Office/outpatient visit, high complexity

$134K

349 claims · 0.6%

Your Cost: $384.49/claim|Median: $74.09
5.2× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$77K

1,723 claims · 0.4%

Your Cost: $44.50/claim|Median: $91.63
0.5× median
J1631Normal range

$75K

4,735 claims · 0.4%

Your Cost: $15.93/claim|Median: $15.34
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$45K

14K claims · 0.2%

Your Cost: $3.13/claim|Median: $9.56
0.3× median
H0032Normal range

Mental health service plan development

$20K

262 claims · 0.1%

Your Cost: $76.29/claim|Median: $80.64
0.9× median
H2011Normal range

Crisis intervention service, per 15 minutes

$6K

34 claims · 0.0%

Your Cost: $177.45/claim|Median: $215.80
0.8× median
99367Top 5%

$2K

26 claims · 0.0%

Your Cost: $80.27/claim|Median: $35.65
2.3× median
J2426Normal range

$1K

1,240 claims · 0.0%

Your Cost: $1.07/claim|Median: $625.59
0.0× median
J2680Normal range

$1K

102 claims · 0.0%

Your Cost: $11.21/claim|Median: $13.86
0.8× median
J0401Normal range

$0

37 claims · 0.0%

Your Cost: $0.00/claim|Median: $714.38
0.0× median