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SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE

Clinic/Center, Mental Health (Including Community Mental Health Center)·ANDERSON, SC·NPI: 1508814625Share

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 $40.8M 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

$40.8M

$40,809,027

Total Claims

335K

Beneficiaries

218K

1.5 claims/patient

Avg Cost/Claim

$122

Monthly Spending Trend

Yearly Spending

2018
$6.5M
-0%
2019
$6.4M
-15%
2020
$5.5M
+6%
2021
$5.8M
-2%
2022
$5.7M
-0%
2023
$5.7M
-7%
2024
$5.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 22% of total spending.

90834Top 5%

Psychotherapy, 45 minutes

$8.8M

61K claims · 21.5%

Your Cost: $143.80/claim|Median: $63.65
2.3× median
99214Top 5%

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

$6.0M

36K claims · 14.8%

Your Cost: $169.63/claim|Median: $53.41
3.2× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$4.9M

70K claims · 11.9%

Your Cost: $68.87/claim|Median: $91.63
0.8× median
90837Top 5%

Psychotherapy, 60 minutes

$4.7M

25K claims · 11.4%

Your Cost: $187.51/claim|Median: $85.66
2.2× median
H0031Top 25%

Mental health assessment by non-physician

$4.2M

24K claims · 10.3%

Your Cost: $172.04/claim|Median: $96.18
1.8× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$3.6M

6,959 claims · 8.8%

Your Cost: $514.62/claim|Median: $108.91
4.7× median
90847Top 5%

Family psychotherapy with patient, 50 min

$2.6M

11K claims · 6.3%

Your Cost: $227.06/claim|Median: $77.33
2.9× median
T1002Normal range

RN services, per 15 minutes

$2.2M

33K claims · 5.3%

Your Cost: $65.72/claim|Median: $37.42
1.8× median
90832Top 25%

Psychotherapy, 30 minutes

$1.5M

20K claims · 3.6%

Your Cost: $71.61/claim|Median: $41.28
1.7× median
90846Top 5%

Family psychotherapy without patient, 50 min

$875K

3,833 claims · 2.1%

Your Cost: $228.24/claim|Median: $76.61
3.0× median
90853Top 25%

Group psychotherapy

$342K

5,865 claims · 0.8%

Your Cost: $58.35/claim|Median: $25.02
2.3× median
H2011Normal range

Crisis intervention service, per 15 minutes

$310K

2,345 claims · 0.8%

Your Cost: $132.12/claim|Median: $215.80
0.6× median
99213Top 10%

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

$272K

3,586 claims · 0.7%

Your Cost: $75.88/claim|Median: $37.81
2.0× median
99215Top 5%

Office/outpatient visit, high complexity

$173K

586 claims · 0.4%

Your Cost: $294.82/claim|Median: $74.09
4.0× median
J1631Top 25%

$172K

5,063 claims · 0.4%

Your Cost: $33.95/claim|Median: $15.34
2.2× median
H0038Normal range

Self-help/peer services, per 15 minutes

$113K

2,581 claims · 0.3%

Your Cost: $43.68/claim|Median: $55.04
0.8× median
H0032Normal range

Mental health service plan development

$77K

1,837 claims · 0.2%

Your Cost: $41.98/claim|Median: $80.64
0.5× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$51K

17K claims · 0.1%

Your Cost: $2.92/claim|Median: $9.56
0.3× median
S9482Normal range

Family stabilization services, per 15 minutes

$42K

340 claims · 0.1%

Your Cost: $124.22/claim|Median: $625.59
0.2× median
J2680Normal range

$28K

1,467 claims · 0.1%

Your Cost: $19.09/claim|Median: $13.86
1.4× median
99367Top 10%

$25K

315 claims · 0.1%

Your Cost: $79.71/claim|Median: $35.65
2.2× median
99366Top 25%

$24K

304 claims · 0.1%

Your Cost: $79.13/claim|Median: $37.02
2.1× median
J2426Normal range

$11

1,116 claims · 0.0%

Your Cost: $0.01/claim|Median: $625.59
0.0× median
J0401Normal range

$1

194 claims · 0.0%

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