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SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE

Clinic/Center, Mental Health (Including Community Mental Health Center)·FLORENCE, SC·NPI: 1205925567Share

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 $47.7M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

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

Total Paid

$47.7M

$47,735,825

Total Claims

396K

Beneficiaries

263K

1.5 claims/patient

Avg Cost/Claim

$120

Monthly Spending Trend

Yearly Spending

2018
$7.3M
+3%
2019
$7.5M
+9%
2020
$8.2M
-13%
2021
$7.1M
-12%
2022
$6.3M
-0%
2023
$6.3M
-18%
2024
$5.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 26% of total spending.

90834Top 5%

Psychotherapy, 45 minutes

$12.5M

85K claims · 26.1%

Your Cost: $147.33/claim|Median: $63.65
2.3× median
H0031Normal range

Mental health assessment by non-physician

$8.7M

59K claims · 18.2%

Your Cost: $146.78/claim|Median: $96.18
1.5× median
99214Top 5%

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

$5.4M

29K claims · 11.3%

Your Cost: $185.81/claim|Median: $53.41
3.5× median
90837Top 5%

Psychotherapy, 60 minutes

$5.3M

29K claims · 11.2%

Your Cost: $182.50/claim|Median: $85.66
2.1× median
90847Top 5%

Family psychotherapy with patient, 50 min

$3.8M

16K claims · 7.9%

Your Cost: $233.38/claim|Median: $77.33
3.0× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$3.1M

5,242 claims · 6.5%

Your Cost: $591.78/claim|Median: $108.91
5.4× median
90846Top 5%

Family psychotherapy without patient, 50 min

$1.9M

8,087 claims · 3.9%

Your Cost: $230.95/claim|Median: $76.61
3.0× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$1.4M

34K claims · 2.9%

Your Cost: $40.17/claim|Median: $91.63
0.4× median
90832Top 25%

Psychotherapy, 30 minutes

$1.3M

18K claims · 2.8%

Your Cost: $72.16/claim|Median: $41.28
1.7× median
T1002Normal range

RN services, per 15 minutes

$1.3M

27K claims · 2.6%

Your Cost: $46.92/claim|Median: $37.42
1.3× median
99213Top 5%

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

$716K

7,943 claims · 1.5%

Your Cost: $90.20/claim|Median: $37.81
2.4× median
H0032Normal range

Mental health service plan development

$601K

15K claims · 1.3%

Your Cost: $40.29/claim|Median: $80.64
0.5× median
H0038Normal range

Self-help/peer services, per 15 minutes

$569K

11K claims · 1.2%

Your Cost: $51.26/claim|Median: $55.04
0.9× median
90853Top 10%

Group psychotherapy

$420K

5,353 claims · 0.9%

Your Cost: $78.44/claim|Median: $25.02
3.1× median
H2011Normal range

Crisis intervention service, per 15 minutes

$229K

1,527 claims · 0.5%

Your Cost: $150.18/claim|Median: $215.80
0.7× median
J1631Top 25%

$182K

5,532 claims · 0.4%

Your Cost: $32.87/claim|Median: $15.34
2.1× median
J2426Normal range

$177K

2,803 claims · 0.4%

Your Cost: $63.11/claim|Median: $625.59
0.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$99K

30K claims · 0.2%

Your Cost: $3.34/claim|Median: $9.56
0.3× median
J2794Normal range

Injection, risperidone, long-acting, per half milligram

$65K

801 claims · 0.1%

Your Cost: $81.54/claim|Median: $242.01
0.3× median
J2680Normal range

$62K

4,263 claims · 0.1%

Your Cost: $14.63/claim|Median: $13.86
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$12K

450 claims · 0.0%

Your Cost: $26.53/claim|Median: $99.21
0.3× median
99366Top 25%

$1K

17 claims · 0.0%

Your Cost: $80.24/claim|Median: $37.02
2.2× median
J0401Normal range

$3

410 claims · 0.0%

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

Office/outpatient visit, minimal complexity

$0

264 claims · 0.0%

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