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SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE

Clinic/Center, Mental Health (Including Community Mental Health Center)·ROCK HILL, SC·NPI: 1568476885Share

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 $30.2M 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

$30.2M

$30,222,964

Total Claims

226K

Beneficiaries

179K

1.3 claims/patient

Avg Cost/Claim

$134

Monthly Spending Trend

Yearly Spending

2018
$4.7M
-1%
2019
$4.7M
+22%
2020
$5.7M
-18%
2021
$4.7M
-18%
2022
$3.9M
+1%
2023
$3.9M
-30%
2024
$2.7M

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 23% of total spending.

90834Top 5%

Psychotherapy, 45 minutes

$7.1M

48K claims · 23.3%

Your Cost: $146.00/claim|Median: $63.65
2.3× median
99214Top 1%

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

$5.2M

28K claims · 17.2%

Your Cost: $188.31/claim|Median: $53.41
3.5× median
H0031Top 25%

Mental health assessment by non-physician

$4.0M

24K claims · 13.3%

Your Cost: $163.73/claim|Median: $96.18
1.7× median
90832Top 25%

Psychotherapy, 30 minutes

$3.2M

44K claims · 10.6%

Your Cost: $72.43/claim|Median: $41.28
1.8× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$3.1M

5,792 claims · 10.4%

Your Cost: $543.00/claim|Median: $108.91
5.0× median
90837Top 5%

Psychotherapy, 60 minutes

$2.7M

13K claims · 8.9%

Your Cost: $204.55/claim|Median: $85.66
2.4× median
90847Top 5%

Family psychotherapy with patient, 50 min

$2.7M

11K claims · 8.8%

Your Cost: $232.85/claim|Median: $77.33
3.0× median
T1002Normal range

RN services, per 15 minutes

$907K

13K claims · 3.0%

Your Cost: $68.43/claim|Median: $37.42
1.8× median
90846Top 5%

Family psychotherapy without patient, 50 min

$428K

1,845 claims · 1.4%

Your Cost: $232.24/claim|Median: $76.61
3.0× median
99215Top 5%

Office/outpatient visit, high complexity

$260K

923 claims · 0.9%

Your Cost: $281.35/claim|Median: $74.09
3.8× median
99213Top 5%

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

$187K

1,908 claims · 0.6%

Your Cost: $97.85/claim|Median: $37.81
2.6× median
H0032Normal range

Mental health service plan development

$141K

3,444 claims · 0.5%

Your Cost: $40.82/claim|Median: $80.64
0.5× median
90853Top 10%

Group psychotherapy

$83K

1,051 claims · 0.3%

Your Cost: $78.65/claim|Median: $25.02
3.1× median
J1631Normal range

$71K

2,690 claims · 0.2%

Your Cost: $26.33/claim|Median: $15.34
1.7× median
H2011Normal range

Crisis intervention service, per 15 minutes

$60K

470 claims · 0.2%

Your Cost: $128.17/claim|Median: $215.80
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$60K

20K claims · 0.2%

Your Cost: $3.05/claim|Median: $9.56
0.3× median
J2680Normal range

$42K

2,209 claims · 0.1%

Your Cost: $18.87/claim|Median: $13.86
1.4× median
J2426Normal range

$7K

2,397 claims · 0.0%

Your Cost: $2.98/claim|Median: $625.59
0.0× median
J0401Normal range

$9

962 claims · 0.0%

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