Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH ACCOUNTING OFFICE

Clinic/Center, Mental Health (Including Community Mental Health Center)·COLUMBIA, SC·NPI: 1952329153Share

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 $36.0M 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

$36.0M

$35,995,125

Total Claims

316K

Beneficiaries

225K

1.4 claims/patient

Avg Cost/Claim

$114

Monthly Spending Trend

Yearly Spending

2018
$5.3M
+3%
2019
$5.5M
+0%
2020
$5.5M
+2%
2021
$5.6M
-12%
2022
$5.0M
-0%
2023
$5.0M
-17%
2024
$4.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 20% of total spending.

99214Top 5%

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

$7.4M

47K claims · 20.4%

Your Cost: $155.51/claim|Median: $53.41
2.9× median
90834Top 10%

Psychotherapy, 45 minutes

$6.6M

48K claims · 18.3%

Your Cost: $137.94/claim|Median: $63.65
2.2× median
H0031Top 25%

Mental health assessment by non-physician

$6.5M

40K claims · 18.2%

Your Cost: $163.16/claim|Median: $96.18
1.7× median
90837Top 5%

Psychotherapy, 60 minutes

$3.5M

18K claims · 9.6%

Your Cost: $193.04/claim|Median: $85.66
2.3× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$3.1M

6,155 claims · 8.6%

Your Cost: $505.25/claim|Median: $108.91
4.6× median
90847Top 5%

Family psychotherapy with patient, 50 min

$2.2M

9,425 claims · 6.0%

Your Cost: $229.06/claim|Median: $77.33
3.0× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$1.9M

31K claims · 5.2%

Your Cost: $60.39/claim|Median: $91.63
0.7× median
T1002Normal range

RN services, per 15 minutes

$1.4M

21K claims · 3.9%

Your Cost: $69.06/claim|Median: $37.42
1.8× median
99213Top 5%

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

$1.4M

15K claims · 3.8%

Your Cost: $89.05/claim|Median: $37.81
2.4× median
90832Top 25%

Psychotherapy, 30 minutes

$1.0M

14K claims · 2.8%

Your Cost: $70.61/claim|Median: $41.28
1.7× median
H2011Normal range

Crisis intervention service, per 15 minutes

$236K

2,537 claims · 0.7%

Your Cost: $93.18/claim|Median: $215.80
0.4× median
90846Top 5%

Family psychotherapy without patient, 50 min

$167K

737 claims · 0.5%

Your Cost: $226.52/claim|Median: $76.61
3.0× median
H0038Normal range

Self-help/peer services, per 15 minutes

$153K

2,777 claims · 0.4%

Your Cost: $54.94/claim|Median: $55.04
1.0× median
H0032Normal range

Mental health service plan development

$138K

3,366 claims · 0.4%

Your Cost: $41.01/claim|Median: $80.64
0.5× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$126K

40K claims · 0.4%

Your Cost: $3.19/claim|Median: $9.56
0.3× median
90853Top 10%

Group psychotherapy

$124K

1,864 claims · 0.3%

Your Cost: $66.62/claim|Median: $25.02
2.7× median
99215Top 5%

Office/outpatient visit, high complexity

$57K

293 claims · 0.2%

Your Cost: $193.90/claim|Median: $74.09
2.6× median
J1631Normal range

$46K

3,455 claims · 0.1%

Your Cost: $13.32/claim|Median: $15.34
0.9× median
J2426Normal range

$25K

4,998 claims · 0.1%

Your Cost: $5.05/claim|Median: $625.59
0.0× median
J2680Normal range

$23K

4,289 claims · 0.1%

Your Cost: $5.48/claim|Median: $13.86
0.4× median
99366Top 25%

$22K

283 claims · 0.1%

Your Cost: $77.28/claim|Median: $37.02
2.1× median
90791Normal range

Psychiatric diagnostic evaluation

$782

67 claims · 0.0%

Your Cost: $11.67/claim|Median: $99.21
0.1× median
J0401Normal range

$40

1,739 claims · 0.0%

Your Cost: $0.02/claim|Median: $714.38
0.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$0

23 claims · 0.0%

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