Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or South Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. South Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

South Carolina Dept Of Mental Health Accounting Office (NPI 1013476787)

Field	Value
Entity Type	Organization
Organization	South Carolina Dept Of Mental Health Accounting Office
Address	124 Mallard St
City	Greenville
State	SC
ZIP	29601
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	March 13, 2019

Payer Source	Total Paid
Medicaid	$61.9M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file while Medicaid revenue totals $61.9M, so Medicaid accounts for the entirety of reported lifetime revenue on file for this NPI. Analysts should treat payer mix as concentrated in state Medicaid rather than split across Medicare/Medicaid lines.

Revenue concentration is high: the top 3 Medicaid codes by revenue account for 55.8% of this provider's total Medicaid revenue. Those three codes are 90834 ($13.8M, 22.3%), H0031 ($10.8M, 17.4%) and 90837 ($10M, 16.1%), indicating that a majority of revenue is driven by a small set of psychotherapy and assessment services.

The code mix signals an outpatient mental health clinic model focused on psychotherapy and non-physician assessment: large volumes for psychotherapy codes 90834, 90837 and 90832, together with H0031 (mental health assessment by non-physician), indicate routine, high-intensity therapy and assessment workflows. Substantial billing for group therapy (90853), family therapy (90847/90846), psychosocial rehabilitation (H2017), and RN services (T1002) further suggests integrated behavioral health services that combine individual, group, family, nursing, and rehabilitative supports.

Competitive standing in-state is dominant across multiple core codes: H0031 ranks #1 of 84 providers in-state (100th percentile; extreme outlier) and 90834 ranks #2 of 210 providers in-state (100th percentile; extreme outlier), while 90837 ranks #3 of 647 providers in-state (100th percentile; extreme outlier). Several other lines—90853 (#1 of 59, 100th percentile; extreme outlier), T1002 (#3 of 102, 98th percentile; extreme outlier), and 96372 (22.5K claims, #12 of 409, 97th percentile; extreme outlier)—reinforce that this entity is a major statewide provider for high-volume behavioral health services.

Operational patterns show frequent multidisciplinary care coordination: the provider reports high volumes for team-meeting/coordination codes such as 99367 (3.9K claims, $305.8K revenue) which ranks #1 of 51 providers in-state (100th percentile; extreme outlier), and 99366 (2.5K claims) which further supports substantial participation in multi-specialty planning and team-based case management. These codes underscore an emphasis on coordinated care models beyond one-to-one therapy.

Nursing and procedural activity is material and concentrated: T1002 (66.5K claims, $4.4M, 7.1% of Medicaid revenue) ranks #3 of 102 providers in-state (98th percentile; extreme outlier), and 96372 (22.5K claims) ranks #12 of 409 providers in-state (97th percentile; extreme outlier). High claim counts for these short-interval nursing and injection/administration services suggest staffing and operational capacity to deliver frequent, lower-reimbursement encounters at scale.

Reliance on a small set of high-volume psychotherapy and assessment codes implies revenue sensitivity to Medicaid policy or rate changes for those codes: with 55.8% of Medicaid revenue tied to 90834, H0031, and 90837, any reimbursement or utilization shifts in psychotherapy or non-physician assessment services would disproportionately affect total revenue. Payers and contracting teams should prioritize review of these specific code groups when modeling financial impact or negotiating rates.

The provider has an established billing presence, enumerated on 2019-03-13 (~7 years ago), and the combination of tenure plus $61.9M in Medicaid revenue and multiple 100th-percentile code rankings indicates a mature, high-capacity Medicaid-facing behavioral health operation. For competitors and payers, this profile signals a large, statewide mental health clinic with concentrated service lines and operational depth in psychotherapy, assessment, nursing, and multidisciplinary care coordination.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	91,930	$150	$13.8M
H0031	Mental health assessment, by non-physician	70,870	$150	$10.8M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	52,770	$190	$10M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	40,990	$160	$6.7M
T1002	Rn services, up to 15 minutes	66,540	$70	$4.4M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	8,740	$500	$4.4M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	33,230	$60	$2.1M
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	8,330	$230	$1.9M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	25,380	$70	$1.9M
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	7,610	$230	$1.7M

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.

Claims Volume vs. South Carolina Distribution

South Carolina Dept Of Mental Health Accounting Office — 11 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	13	10	2,400	$120	$1.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	9	50	9,030	$60	$1.5M
H0031	Mental health assessment, by non-physician	1	80	180	$150	$1.2M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2	210	320	$130	$707.4K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	3	90	260	$430	$688.8K
T1002	Rn services, up to 15 minutes	3	100	5,080	$60	$611.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	3	650	800	$120	$413.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	8	160	270	$70	$268.1K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	17	240	260	$160	$257.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	259	2,770	210	$60	$254.5K

Showing 1–10 of 25

Related Providers

Other providers that share a Tax Identification Number (TIN) with South Carolina Dept Of Mental Health Accounting Office, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$65.9M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$47.7M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$40.9M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$40.5M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$40M
South Carolina Department Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$36M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$32M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$30.2M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$29.1M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$28M

Nearby Providers

Other providers in the same ZIP code as South Carolina Dept Of Mental Health Accounting Office, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prisma Health-upstate	SC	Developmental Disabilities Clinic/Center	$0	$19.7M
St Francis Hospital Inc	SC	General Acute Care Hospital	$0	$17.8M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.8M
County Of Greenville	SC	Land Ambulance	$4.2M	$9.2M
Greenville Proaxis Therapy, LLC	SC	Physical Therapist	$0	$7.9M
Carolina Family Services, Inc.	SC	Community/Behavioral Health Agency	$0	$5.5M
Ahead Start LLC	SC	Early Intervention Provider Agency	$0	$4.5M
Greenville Health System	SC	Medically Fragile Infants and Children Day Care	$0	$4.2M
Vituity-south Carolina LLC	SC	Emergency Medicine Physician	$0	$4.1M
Corporate Care, LLC	SC	Home Health Agency	$0	$4.1M

South Carolina Dept Of Mental Health Accounting Office — Billing Profile & Reimbursement Data

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South Carolina Dept Of Mental Health Accounting Office — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References