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SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE

Clinic/Center, Mental Health (Including Community Mental Health Center)·MONCKS CORNER, SC·NPI: 1508811324Share

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 $20.7M 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

$20.7M

$20,659,877

Total Claims

138K

Beneficiaries

107K

1.3 claims/patient

Avg Cost/Claim

$150

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+15%
2019
$2.6M
+10%
2020
$2.9M
+6%
2021
$3.1M
+6%
2022
$3.3M
+13%
2023
$3.7M
-24%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 29% of total spending.

90834Top 5%

Psychotherapy, 45 minutes

$6.0M

41K claims · 29.0%

Your Cost: $146.16/claim|Median: $63.65
2.3× median
90837Top 5%

Psychotherapy, 60 minutes

$2.7M

13K claims · 13.0%

Your Cost: $199.66/claim|Median: $85.66
2.3× median
90847Top 5%

Family psychotherapy with patient, 50 min

$2.3M

10K claims · 11.3%

Your Cost: $225.38/claim|Median: $77.33
2.9× median
H0031Top 25%

Mental health assessment by non-physician

$2.1M

12K claims · 10.3%

Your Cost: $184.85/claim|Median: $96.18
1.9× median
99214Top 5%

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

$2.1M

12K claims · 10.2%

Your Cost: $177.35/claim|Median: $53.41
3.3× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$1.9M

3,630 claims · 9.4%

Your Cost: $534.64/claim|Median: $108.91
4.9× median
90832Top 25%

Psychotherapy, 30 minutes

$1.2M

16K claims · 5.8%

Your Cost: $72.32/claim|Median: $41.28
1.8× median
90846Top 5%

Family psychotherapy without patient, 50 min

$830K

3,676 claims · 4.0%

Your Cost: $225.76/claim|Median: $76.61
2.9× median
T1002Normal range

RN services, per 15 minutes

$828K

14K claims · 4.0%

Your Cost: $60.78/claim|Median: $37.42
1.6× median
99215Top 5%

Office/outpatient visit, high complexity

$216K

747 claims · 1.0%

Your Cost: $288.73/claim|Median: $74.09
3.9× median
H2011Normal range

Crisis intervention service, per 15 minutes

$196K

1,604 claims · 0.9%

Your Cost: $122.34/claim|Median: $215.80
0.6× median
90853Top 10%

Group psychotherapy

$69K

1,020 claims · 0.3%

Your Cost: $67.88/claim|Median: $25.02
2.7× median
J1631Top 10%

$48K

1,200 claims · 0.2%

Your Cost: $40.40/claim|Median: $15.34
2.6× median
99213Top 5%

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

$45K

516 claims · 0.2%

Your Cost: $87.16/claim|Median: $37.81
2.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$18K

5,759 claims · 0.1%

Your Cost: $3.19/claim|Median: $9.56
0.3× median
H0038Normal range

Self-help/peer services, per 15 minutes

$16K

315 claims · 0.1%

Your Cost: $51.48/claim|Median: $55.04
0.9× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$10K

514 claims · 0.1%

Your Cost: $20.18/claim|Median: $91.63
0.2× median
H0032Normal range

Mental health service plan development

$614

14 claims · 0.0%

Your Cost: $43.85/claim|Median: $80.64
0.5× median
J2426Normal range

$4

403 claims · 0.0%

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