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SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE

Clinic/Center, Mental Health (Including Community Mental Health Center)·CHARLESTON, SC·NPI: 1760596480Share

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 $65.9M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$65.9M

$65,874,790

Total Claims

461K

Beneficiaries

334K

1.4 claims/patient

Avg Cost/Claim

$143

Monthly Spending Trend

Yearly Spending

2018
$11.6M
+1%
2019
$11.6M
-10%
2020
$10.5M
-5%
2021
$10.0M
-17%
2022
$8.2M
-5%
2023
$7.9M
-23%
2024
$6.1M

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 28% of total spending.

90834Top 5%

Psychotherapy, 45 minutes

$18.6M

126K claims · 28.2%

Your Cost: $147.59/claim|Median: $63.65
2.3× median
90837Top 5%

Psychotherapy, 60 minutes

$11.5M

56K claims · 17.5%

Your Cost: $203.61/claim|Median: $85.66
2.4× median
H0031Top 25%

Mental health assessment by non-physician

$10.4M

67K claims · 15.8%

Your Cost: $156.39/claim|Median: $96.18
1.6× median
99214Top 1%

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

$7.5M

40K claims · 11.4%

Your Cost: $188.88/claim|Median: $53.41
3.5× median
90847Top 5%

Family psychotherapy with patient, 50 min

$4.3M

19K claims · 6.6%

Your Cost: $229.94/claim|Median: $77.33
3.0× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$3.5M

6,511 claims · 5.3%

Your Cost: $537.17/claim|Median: $108.91
4.9× median
90832Top 25%

Psychotherapy, 30 minutes

$2.9M

40K claims · 4.4%

Your Cost: $72.23/claim|Median: $41.28
1.7× median
90846Top 5%

Family psychotherapy without patient, 50 min

$2.2M

9,402 claims · 3.3%

Your Cost: $229.96/claim|Median: $76.61
3.0× median
T1002Normal range

RN services, per 15 minutes

$1.6M

31K claims · 2.4%

Your Cost: $50.93/claim|Median: $37.42
1.4× median
H2011Normal range

Crisis intervention service, per 15 minutes

$885K

5,973 claims · 1.3%

Your Cost: $148.10/claim|Median: $215.80
0.7× median
99366Top 25%

$712K

9,033 claims · 1.1%

Your Cost: $78.88/claim|Median: $37.02
2.1× median
99213Top 5%

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

$501K

5,349 claims · 0.8%

Your Cost: $93.69/claim|Median: $37.81
2.5× median
90853Top 10%

Group psychotherapy

$424K

5,639 claims · 0.6%

Your Cost: $75.22/claim|Median: $25.02
3.0× median
99367Top 10%

$270K

3,404 claims · 0.4%

Your Cost: $79.24/claim|Median: $35.65
2.2× median
99215Top 5%

Office/outpatient visit, high complexity

$239K

699 claims · 0.4%

Your Cost: $341.76/claim|Median: $74.09
4.6× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$113K

2,193 claims · 0.2%

Your Cost: $51.60/claim|Median: $91.63
0.6× median
H0038Normal range

Self-help/peer services, per 15 minutes

$99K

1,942 claims · 0.2%

Your Cost: $51.13/claim|Median: $55.04
0.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$79K

26K claims · 0.1%

Your Cost: $3.07/claim|Median: $9.56
0.3× median
H0032Normal range

Mental health service plan development

$73K

1,646 claims · 0.1%

Your Cost: $44.30/claim|Median: $80.64
0.5× median
90791Normal range

Psychiatric diagnostic evaluation

$17K

295 claims · 0.0%

Your Cost: $57.85/claim|Median: $99.21
0.6× median
J1631Normal range

$10K

2,601 claims · 0.0%

Your Cost: $3.99/claim|Median: $15.34
0.3× median
J2426Normal range

$3K

2,787 claims · 0.0%

Your Cost: $1.19/claim|Median: $625.59
0.0× median
J0401Normal range

$0

42 claims · 0.0%

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

Office/outpatient visit, minimal complexity

$0

54 claims · 0.0%

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