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SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE

Clinic/Center, Mental Health (Including Community Mental Health Center)·CONWAY, SC·NPI: 1356397228Share

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 $40.5M 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

$40.5M

$40,525,700

Total Claims

311K

Beneficiaries

233K

1.3 claims/patient

Avg Cost/Claim

$130

Monthly Spending Trend

Yearly Spending

2018
$5.8M
+17%
2019
$6.7M
+3%
2020
$6.9M
-10%
2021
$6.2M
-9%
2022
$5.7M
-6%
2023
$5.3M
-27%
2024
$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (H0031 (Mental health assessment by non-physician)) accounts for 22% of total spending.

H0031Top 25%

Mental health assessment by non-physician

$8.9M

57K claims · 21.8%

Your Cost: $155.38/claim|Median: $96.18
1.6× median
90834Top 5%

Psychotherapy, 45 minutes

$7.5M

50K claims · 18.4%

Your Cost: $149.90/claim|Median: $63.65
2.4× median
99214Top 1%

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

$5.4M

25K claims · 13.4%

Your Cost: $218.21/claim|Median: $53.41
4.1× median
90837Top 5%

Psychotherapy, 60 minutes

$5.1M

26K claims · 12.7%

Your Cost: $195.60/claim|Median: $85.66
2.3× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$3.7M

6,556 claims · 9.1%

Your Cost: $561.64/claim|Median: $108.91
5.2× median
T1002Normal range

RN services, per 15 minutes

$2.8M

50K claims · 6.9%

Your Cost: $56.26/claim|Median: $37.42
1.5× median
90847Top 5%

Family psychotherapy with patient, 50 min

$1.5M

6,260 claims · 3.7%

Your Cost: $238.09/claim|Median: $77.33
3.1× median
99215Top 5%

Office/outpatient visit, high complexity

$1.4M

4,553 claims · 3.5%

Your Cost: $307.99/claim|Median: $74.09
4.2× median
90832Top 25%

Psychotherapy, 30 minutes

$1.1M

15K claims · 2.8%

Your Cost: $72.93/claim|Median: $41.28
1.8× median
90846Top 5%

Family psychotherapy without patient, 50 min

$979K

4,138 claims · 2.4%

Your Cost: $236.62/claim|Median: $76.61
3.1× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$782K

16K claims · 1.9%

Your Cost: $47.64/claim|Median: $91.63
0.5× median
99213Top 5%

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

$434K

4,375 claims · 1.1%

Your Cost: $99.27/claim|Median: $37.81
2.6× median
H2011Normal range

Crisis intervention service, per 15 minutes

$397K

2,096 claims · 1.0%

Your Cost: $189.21/claim|Median: $215.80
0.9× median
99366Top 25%

$257K

3,285 claims · 0.6%

Your Cost: $78.27/claim|Median: $37.02
2.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$87K

29K claims · 0.2%

Your Cost: $3.01/claim|Median: $9.56
0.3× median
H0032Normal range

Mental health service plan development

$58K

1,322 claims · 0.1%

Your Cost: $43.56/claim|Median: $80.64
0.5× median
90853Top 10%

Group psychotherapy

$49K

592 claims · 0.1%

Your Cost: $82.48/claim|Median: $25.02
3.3× median
J1631Normal range

$37K

4,053 claims · 0.1%

Your Cost: $9.03/claim|Median: $15.34
0.6× median
90791Normal range

Psychiatric diagnostic evaluation

$27K

612 claims · 0.1%

Your Cost: $44.06/claim|Median: $99.21
0.4× median
99367Top 10%

$14K

172 claims · 0.0%

Your Cost: $79.80/claim|Median: $35.65
2.2× median
J2680Normal range

$4K

1,093 claims · 0.0%

Your Cost: $3.60/claim|Median: $13.86
0.3× median
J2426Normal range

$3K

2,412 claims · 0.0%

Your Cost: $1.15/claim|Median: $625.59
0.0× median
J2794Normal range

Injection, risperidone, long-acting, per half milligram

$495

268 claims · 0.0%

Your Cost: $1.85/claim|Median: $242.01
0.0× median
J0401Normal range

$2

328 claims · 0.0%

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

Office/outpatient visit, minimal complexity

$0

35 claims · 0.0%

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

Other Top Providers in South Carolina

View all →

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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