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SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE

Clinic/Center, Mental Health (Including Community Mental Health Center)·LEXINGTON, SC·NPI: 1841374972Share

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 $32.0M is at the 50th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$32.0M

$32,003,463

Total Claims

233K

Beneficiaries

170K

1.4 claims/patient

Avg Cost/Claim

$138

Monthly Spending Trend

Yearly Spending

2018
$4.4M
+15%
2019
$5.1M
-1%
2020
$5.0M
+1%
2021
$5.0M
-11%
2022
$4.5M
-2%
2023
$4.4M
-19%
2024
$3.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 24% of total spending.

90834Top 5%

Psychotherapy, 45 minutes

$7.7M

55K claims · 24.1%

Your Cost: $141.28/claim|Median: $63.65
2.2× median
H0031Normal range

Mental health assessment by non-physician

$5.4M

37K claims · 16.9%

Your Cost: $146.88/claim|Median: $96.18
1.5× median
90837Top 5%

Psychotherapy, 60 minutes

$3.8M

20K claims · 11.9%

Your Cost: $193.87/claim|Median: $85.66
2.3× median
99214Top 5%

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

$3.5M

19K claims · 11.0%

Your Cost: $186.01/claim|Median: $53.41
3.5× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$2.9M

5,574 claims · 9.1%

Your Cost: $522.09/claim|Median: $108.91
4.8× median
90832Top 25%

Psychotherapy, 30 minutes

$2.5M

36K claims · 7.9%

Your Cost: $70.57/claim|Median: $41.28
1.7× median
90847Top 5%

Family psychotherapy with patient, 50 min

$2.4M

11K claims · 7.6%

Your Cost: $222.06/claim|Median: $77.33
2.9× median
90846Top 5%

Family psychotherapy without patient, 50 min

$1.2M

5,181 claims · 3.7%

Your Cost: $225.87/claim|Median: $76.61
2.9× median
99213Top 5%

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

$622K

6,217 claims · 1.9%

Your Cost: $100.03/claim|Median: $37.81
2.6× median
T1002Normal range

RN services, per 15 minutes

$616K

11K claims · 1.9%

Your Cost: $58.14/claim|Median: $37.42
1.6× median
H2011Normal range

Crisis intervention service, per 15 minutes

$493K

4,185 claims · 1.5%

Your Cost: $117.73/claim|Median: $215.80
0.5× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$363K

8,194 claims · 1.1%

Your Cost: $44.32/claim|Median: $91.63
0.5× median
90853Top 10%

Group psychotherapy

$174K

2,432 claims · 0.5%

Your Cost: $71.36/claim|Median: $25.02
2.9× median
H0038Normal range

Self-help/peer services, per 15 minutes

$171K

3,951 claims · 0.5%

Your Cost: $43.20/claim|Median: $55.04
0.8× median
J1631Top 25%

$45K

1,359 claims · 0.1%

Your Cost: $33.29/claim|Median: $15.34
2.2× median
H0032Normal range

Mental health service plan development

$41K

872 claims · 0.1%

Your Cost: $46.93/claim|Median: $80.64
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$23K

7,173 claims · 0.1%

Your Cost: $3.20/claim|Median: $9.56
0.3× median
J2680Normal range

$2K

192 claims · 0.0%

Your Cost: $11.45/claim|Median: $13.86
0.8× median
99366Top 25%

$1K

13 claims · 0.0%

Your Cost: $80.24/claim|Median: $37.02
2.2× median
J2426Normal range

$2

161 claims · 0.0%

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

Other Top Providers in South Carolina

View all →

Medical University Hospital Authority

General Acute Care Hospital

$241.4M

Spartanburg Medical Center

Ambulance

$187.8M

Prisma Health University Medical Group

Internal Medicine

$172.2M

Similar Providers

Other top providers in Clinic/Center, Mental Health (Including Community Mental Health Center)

Los Angeles County Department of Mental Health

Los Angeles, CA

$6.78B

County of Sonoma

Santa Rosa, CA

$195.1M

County of Washtenaw

Ypsilanti, MI

$153.3M

County of Muskegon

Muskegon, MI

$151.1M

Fraser Child and Family Center

Minneapolis, MN

$149.8M

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