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SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE

Clinic/Center, Mental Health (Including Community Mental Health Center)·BEAUFORT, SC·NPI: 1831200310Share

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 $23.3M is at the 50th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$23.3M

$23,301,756

Total Claims

175K

Beneficiaries

130K

1.4 claims/patient

Avg Cost/Claim

$133

Monthly Spending Trend

Yearly Spending

2018
$4.2M
-4%
2019
$4.0M
-14%
2020
$3.5M
-16%
2021
$2.9M
+3%
2022
$3.0M
+10%
2023
$3.3M
-28%
2024
$2.4M

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 20% of total spending.

90834Top 5%

Psychotherapy, 45 minutes

$4.6M

32K claims · 19.9%

Your Cost: $146.72/claim|Median: $63.65
2.3× median
H0031Normal range

Mental health assessment by non-physician

$3.9M

26K claims · 16.8%

Your Cost: $148.05/claim|Median: $96.18
1.5× median
99214Top 1%

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

$3.4M

18K claims · 14.6%

Your Cost: $193.65/claim|Median: $53.41
3.6× median
90837Top 5%

Psychotherapy, 60 minutes

$2.3M

11K claims · 10.0%

Your Cost: $204.24/claim|Median: $85.66
2.4× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$2.3M

4,079 claims · 9.8%

Your Cost: $562.46/claim|Median: $108.91
5.2× median
90847Top 5%

Family psychotherapy with patient, 50 min

$1.9M

8,269 claims · 8.3%

Your Cost: $232.64/claim|Median: $77.33
3.0× median
90832Top 25%

Psychotherapy, 30 minutes

$1.6M

21K claims · 6.8%

Your Cost: $74.15/claim|Median: $41.28
1.8× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$843K

9,515 claims · 3.6%

Your Cost: $88.63/claim|Median: $91.63
1.0× median
T1002Normal range

RN services, per 15 minutes

$721K

10K claims · 3.1%

Your Cost: $70.62/claim|Median: $37.42
1.9× median
90846Top 5%

Family psychotherapy without patient, 50 min

$514K

2,207 claims · 2.2%

Your Cost: $232.84/claim|Median: $76.61
3.0× median
99213Top 5%

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

$260K

2,904 claims · 1.1%

Your Cost: $89.57/claim|Median: $37.81
2.4× median
H2011Normal range

Crisis intervention service, per 15 minutes

$210K

1,825 claims · 0.9%

Your Cost: $115.30/claim|Median: $215.80
0.5× median
H0032Normal range

Mental health service plan development

$160K

3,958 claims · 0.7%

Your Cost: $40.37/claim|Median: $80.64
0.5× median
99366Top 25%

$152K

1,901 claims · 0.7%

Your Cost: $79.85/claim|Median: $37.02
2.2× median
99215Top 5%

Office/outpatient visit, high complexity

$92K

253 claims · 0.4%

Your Cost: $363.52/claim|Median: $74.09
4.9× median
99367Top 10%

$72K

895 claims · 0.3%

Your Cost: $80.00/claim|Median: $35.65
2.2× median
90853Top 10%

Group psychotherapy

$64K

842 claims · 0.3%

Your Cost: $75.57/claim|Median: $25.02
3.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$53K

15K claims · 0.2%

Your Cost: $3.64/claim|Median: $9.56
0.4× median
J1631Normal range

$41K

2,809 claims · 0.2%

Your Cost: $14.48/claim|Median: $15.34
0.9× median
H0038Normal range

Self-help/peer services, per 15 minutes

$18K

273 claims · 0.1%

Your Cost: $64.28/claim|Median: $55.04
1.2× median
J2426Normal range

$11K

1,398 claims · 0.0%

Your Cost: $7.85/claim|Median: $625.59
0.0× median
J2794Normal range

Injection, risperidone, long-acting, per half milligram

$8K

292 claims · 0.0%

Your Cost: $27.22/claim|Median: $242.01
0.1× median
J2680Normal range

$8K

604 claims · 0.0%

Your Cost: $12.57/claim|Median: $13.86
0.9× median
J0401Normal range

$1

122 claims · 0.0%

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