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SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE

Clinic/Center, Mental Health (Including Community Mental Health Center)·SPARTANBURG, SC·NPI: 1427168889Share

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 $40.0M 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

$40.0M

$40,018,535

Total Claims

346K

Beneficiaries

230K

1.5 claims/patient

Avg Cost/Claim

$116

Monthly Spending Trend

Yearly Spending

2018
$6.3M
+2%
2019
$6.4M
-4%
2020
$6.2M
-5%
2021
$5.8M
-12%
2022
$5.1M
+4%
2023
$5.3M
-9%
2024
$4.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 24% of total spending.

99214Top 5%

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

$9.4M

54K claims · 23.5%

Your Cost: $173.61/claim|Median: $53.41
3.3× median
90834Top 5%

Psychotherapy, 45 minutes

$7.1M

49K claims · 17.7%

Your Cost: $144.39/claim|Median: $63.65
2.3× median
H0031Normal range

Mental health assessment by non-physician

$4.4M

30K claims · 10.9%

Your Cost: $145.68/claim|Median: $96.18
1.5× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$3.1M

6,311 claims · 7.8%

Your Cost: $497.01/claim|Median: $108.91
4.6× median
90837Top 5%

Psychotherapy, 60 minutes

$3.1M

16K claims · 7.7%

Your Cost: $190.61/claim|Median: $85.66
2.2× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$3.0M

46K claims · 7.5%

Your Cost: $64.81/claim|Median: $91.63
0.7× median
90832Top 25%

Psychotherapy, 30 minutes

$2.6M

36K claims · 6.6%

Your Cost: $72.93/claim|Median: $41.28
1.8× median
T1002Normal range

RN services, per 15 minutes

$2.0M

28K claims · 4.9%

Your Cost: $70.29/claim|Median: $37.42
1.9× median
90847Top 5%

Family psychotherapy with patient, 50 min

$1.3M

5,657 claims · 3.2%

Your Cost: $229.07/claim|Median: $77.33
3.0× median
99213Top 5%

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

$1.3M

13K claims · 3.2%

Your Cost: $100.08/claim|Median: $37.81
2.6× median
99215Top 5%

Office/outpatient visit, high complexity

$755K

3,173 claims · 1.9%

Your Cost: $238.01/claim|Median: $74.09
3.2× median
90846Top 5%

Family psychotherapy without patient, 50 min

$470K

2,104 claims · 1.2%

Your Cost: $223.31/claim|Median: $76.61
2.9× median
H2011Normal range

Crisis intervention service, per 15 minutes

$393K

3,763 claims · 1.0%

Your Cost: $104.35/claim|Median: $215.80
0.5× median
90853Top 10%

Group psychotherapy

$352K

5,023 claims · 0.9%

Your Cost: $70.05/claim|Median: $25.02
2.8× median
H0032Normal range

Mental health service plan development

$257K

6,024 claims · 0.6%

Your Cost: $42.67/claim|Median: $80.64
0.5× median
99366Top 25%

$218K

2,830 claims · 0.5%

Your Cost: $77.13/claim|Median: $37.02
2.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$96K

30K claims · 0.2%

Your Cost: $3.15/claim|Median: $9.56
0.3× median
H0038Normal range

Self-help/peer services, per 15 minutes

$75K

1,537 claims · 0.2%

Your Cost: $48.81/claim|Median: $55.04
0.9× median
99367Top 10%

$67K

832 claims · 0.2%

Your Cost: $80.01/claim|Median: $35.65
2.2× median
J1631Normal range

$45K

2,567 claims · 0.1%

Your Cost: $17.56/claim|Median: $15.34
1.1× median
J2426Normal range

$28K

2,413 claims · 0.1%

Your Cost: $11.69/claim|Median: $625.59
0.0× median
J2794Normal range

Injection, risperidone, long-acting, per half milligram

$5K

504 claims · 0.0%

Your Cost: $9.53/claim|Median: $242.01
0.0× median
J2680Normal range

$1K

93 claims · 0.0%

Your Cost: $15.78/claim|Median: $13.86
1.1× 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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