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SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE

Clinic/Center, Mental Health (Including Community Mental Health Center)·SUMTER, SC·NPI: 1245279595Share

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 $28.0M is at the 50th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$28.0M

$27,988,725

Total Claims

248K

Beneficiaries

181K

1.4 claims/patient

Avg Cost/Claim

$113

Monthly Spending Trend

Yearly Spending

2018
$4.6M
+4%
2019
$4.8M
-1%
2020
$4.8M
-20%
2021
$3.8M
-7%
2022
$3.6M
-5%
2023
$3.4M
-13%
2024
$2.9M

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 19% of total spending.

90834Top 5%

Psychotherapy, 45 minutes

$5.2M

36K claims · 18.7%

Your Cost: $144.28/claim|Median: $63.65
2.3× median
H0031Top 25%

Mental health assessment by non-physician

$4.6M

30K claims · 16.4%

Your Cost: $153.77/claim|Median: $96.18
1.6× median
99214Top 5%

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

$4.0M

24K claims · 14.3%

Your Cost: $169.30/claim|Median: $53.41
3.2× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$2.9M

5,457 claims · 10.3%

Your Cost: $530.27/claim|Median: $108.91
4.9× median
90837Top 5%

Psychotherapy, 60 minutes

$2.3M

12K claims · 8.2%

Your Cost: $196.61/claim|Median: $85.66
2.3× median
90847Top 5%

Family psychotherapy with patient, 50 min

$1.8M

7,582 claims · 6.5%

Your Cost: $238.24/claim|Median: $77.33
3.1× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$1.8M

34K claims · 6.4%

Your Cost: $52.99/claim|Median: $91.63
0.6× median
99213Top 10%

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

$1.6M

19K claims · 5.7%

Your Cost: $85.24/claim|Median: $37.81
2.3× median
90832Top 25%

Psychotherapy, 30 minutes

$1.4M

19K claims · 4.8%

Your Cost: $71.99/claim|Median: $41.28
1.7× median
T1002Normal range

RN services, per 15 minutes

$1.3M

18K claims · 4.5%

Your Cost: $69.48/claim|Median: $37.42
1.9× median
90846Top 5%

Family psychotherapy without patient, 50 min

$445K

1,869 claims · 1.6%

Your Cost: $237.83/claim|Median: $76.61
3.1× median
J1631Normal range

$275K

9,393 claims · 1.0%

Your Cost: $29.28/claim|Median: $15.34
1.9× median
H2011Normal range

Crisis intervention service, per 15 minutes

$82K

615 claims · 0.3%

Your Cost: $133.13/claim|Median: $215.80
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$72K

24K claims · 0.3%

Your Cost: $2.99/claim|Median: $9.56
0.3× median
90853Top 25%

Group psychotherapy

$54K

1,026 claims · 0.2%

Your Cost: $52.68/claim|Median: $25.02
2.1× median
99215Top 5%

Office/outpatient visit, high complexity

$54K

177 claims · 0.2%

Your Cost: $303.40/claim|Median: $74.09
4.1× median
J2680Normal range

$46K

3,212 claims · 0.2%

Your Cost: $14.28/claim|Median: $13.86
1.0× median
99366Top 25%

$41K

526 claims · 0.1%

Your Cost: $78.11/claim|Median: $37.02
2.1× median
H0038Normal range

Self-help/peer services, per 15 minutes

$32K

603 claims · 0.1%

Your Cost: $53.15/claim|Median: $55.04
1.0× median
99367Top 5%

$31K

388 claims · 0.1%

Your Cost: $80.06/claim|Median: $35.65
2.2× median
H0032Normal range

Mental health service plan development

$12K

270 claims · 0.0%

Your Cost: $44.54/claim|Median: $80.64
0.6× median
J2426Normal range

$2K

1,265 claims · 0.0%

Your Cost: $1.65/claim|Median: $625.59
0.0× median
99211Top 25%

Office/outpatient visit, minimal complexity

$831

37 claims · 0.0%

Your Cost: $22.46/claim|Median: $12.93
1.7× median
J0401Normal range

$3

345 claims · 0.0%

Your Cost: $0.01/claim|Median: $714.38
0.0× median
J2794Normal range

Injection, risperidone, long-acting, per half milligram

$2

181 claims · 0.0%

Your Cost: $0.01/claim|Median: $242.01
0.0× median

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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