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SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE

Clinic/Center, Mental Health (Including Community Mental Health Center)·AIKEN, SC·NPI: 1316904857Share

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 $20.0M 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

$20.0M

$19,965,906

Total Claims

148K

Beneficiaries

110K

1.3 claims/patient

Avg Cost/Claim

$135

Monthly Spending Trend

Yearly Spending

2018
$2.8M
+11%
2019
$3.1M
+2%
2020
$3.1M
-12%
2021
$2.8M
+8%
2022
$3.0M
+2%
2023
$3.0M
-28%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (H0031 (Mental health assessment by non-physician)) accounts for 24% of total spending.

H0031Normal range

Mental health assessment by non-physician

$4.8M

37K claims · 24.0%

Your Cost: $130.21/claim|Median: $96.18
1.4× median
90834Top 5%

Psychotherapy, 45 minutes

$3.9M

28K claims · 19.4%

Your Cost: $140.38/claim|Median: $63.65
2.2× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$2.5M

4,951 claims · 12.6%

Your Cost: $509.88/claim|Median: $108.91
4.7× median
90837Top 5%

Psychotherapy, 60 minutes

$2.0M

9,665 claims · 9.9%

Your Cost: $204.74/claim|Median: $85.66
2.4× median
99214Top 1%

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

$1.8M

8,864 claims · 8.9%

Your Cost: $201.06/claim|Median: $53.41
3.8× median
90847Top 5%

Family psychotherapy with patient, 50 min

$1.5M

6,474 claims · 7.4%

Your Cost: $228.77/claim|Median: $77.33
3.0× median
T1002Normal range

RN services, per 15 minutes

$1.1M

17K claims · 5.4%

Your Cost: $65.18/claim|Median: $37.42
1.7× median
90846Top 5%

Family psychotherapy without patient, 50 min

$908K

3,923 claims · 4.5%

Your Cost: $231.45/claim|Median: $76.61
3.0× median
90832Top 25%

Psychotherapy, 30 minutes

$463K

6,477 claims · 2.3%

Your Cost: $71.43/claim|Median: $41.28
1.7× median
H0038Normal range

Self-help/peer services, per 15 minutes

$455K

7,687 claims · 2.3%

Your Cost: $59.19/claim|Median: $55.04
1.1× median
99213Top 5%

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

$236K

2,338 claims · 1.2%

Your Cost: $100.94/claim|Median: $37.81
2.7× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$102K

1,649 claims · 0.5%

Your Cost: $61.99/claim|Median: $91.63
0.7× median
H2011Normal range

Crisis intervention service, per 15 minutes

$92K

725 claims · 0.5%

Your Cost: $127.21/claim|Median: $215.80
0.6× median
90853Top 10%

Group psychotherapy

$77K

1,017 claims · 0.4%

Your Cost: $75.33/claim|Median: $25.02
3.0× median
J1631Normal range

$65K

2,337 claims · 0.3%

Your Cost: $27.79/claim|Median: $15.34
1.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$30K

9,766 claims · 0.2%

Your Cost: $3.08/claim|Median: $9.56
0.3× median
H0002Normal range

Behavioral health screening

$25K

678 claims · 0.1%

Your Cost: $37.15/claim|Median: $38.77
1.0× median
J2426Normal range

$8

775 claims · 0.0%

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