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 1124135009)

Field	Value
Entity Type	Organization
Organization	South Carolina Dept Of Mental Health Accounting Office
Address	1547 Parkway
City	Greenwood
State	SC
ZIP	29646
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	August 24, 2006

Payer Source	Total Paid
Medicaid	$29.1M
Medicare	$0

Key Findings

This entity is effectively a single‑payer Medicaid provider: there is no Medicare billing on file and total Medicaid revenue is $29.1M, indicating its entire documented fee‑for‑service footprint in the available data is driven by Medicaid. Analysts should treat Medicaid billing patterns as the primary source of commercial and utilization signals for this NPI.

Revenue is highly concentrated in a small set of outpatient mental‑health codes: the top three Medicaid codes (90834, 99214, H0031) together account for 56.2% of total Medicaid revenue, with 90834 reporting $6.9M (23.6%), 99214 $5.1M (17.4%), and H0031 $4.4M (15.2%). This concentration implies that a majority of billed value comes from psychotherapy sessions, established patient E/M visits, and non‑physician mental health assessments.

The code mix shows an operational emphasis on psychotherapy and evaluation/management: high volumes and revenue for 90834 (individual psychotherapy, 48.7K claims, $141 avg paid/claim, $6.9M) and 90837 (long psychotherapy, $3.7M) alongside strong 99214 activity indicate the provider delivers both time‑based psychotherapy and medically oriented outpatient management. Combined with 90792 (psychiatric evaluation) and 99213/99215 present in the mix, the pattern is consistent with an outpatient clinic model offering diagnostic evaluations, ongoing psychotherapy, and E/M‑based follow up.

Non‑physician and team‑based services appear integral to care delivery: H0031 (mental health assessment by non‑physician; $4.4M, 32K claims) and T1002 (RN services; $1.1M, 23.6K claims) along with H2017 (psychosocial rehabilitation) and H0032 (service plan development) show reliance on non‑physician assessments, nursing, and rehab/coordination services. These codes point to a multi‑disciplinary staff mix and care management activities beyond physician‑only encounters.

State competitive standing is strong on several high‑value codes: 99214 ranks #31 of 2483 providers in‑state (99th percentile; notably above typical state volume) and 90834 ranks #8 of 210 (97th percentile; notably above typical state volume), indicating the provider is a major volume player in both E/M for established patients and mid‑length psychotherapy within South Carolina. Other high‑revenue psychotherapy and family‑therapy codes such as 90837 (96th percentile; notably above typical) and 90847 (95th percentile; notably above typical) further underscore above‑typical statewide penetration for outpatient mental health services.

Not all high‑revenue codes are labeled as statistically exceptional: H0031, despite contributing $4.4M (15.2%) and being one of the top three revenue drivers, is described as "typical, unremarkable volume for this code," suggesting the provider’s use of non‑physician mental health assessments is common among peers even though it contributes materially to this provider’s revenue. Several other mid‑tier codes (e.g., 90832, 90846, H2017, T1002) are likewise characterized as typical or unremarkable in volume, indicating a mix of standout and standard service areas.

There are low‑revenue or niche program signals worth flagging: H0040 (assertive community treatment per diem) generates only $7.1K from 63 claims but ranks #2 of 2 providers in‑state, showing limited participation in that particular program. Conversely, 96372 shows very high claim volume (19.3K claims) but very low average payment ($3 avg paid/claim; $57.8K revenue) and is flagged as notably above typical state volume, which may reflect frequent low‑reimbursement medication administrations tied to clinic workflows.

The provider has an established presence in the data: NPI enumerated 2006-08-24 (~20 years ago), indicating long tenure in the billing system. Given the duration of enumeration together with the concentrated Medicaid revenue base ($29.1M) and code mix dominated by psychotherapy, E/M, and non‑physician assessments, the operational profile is consistent with a longstanding outpatient mental health clinic/center focused on Medicaid populations.

Medicaid: Complete Services Breakdown

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

21 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…	48,660	$140	$6.9M
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…	34,680	$150	$5.1M
H0031	Mental health assessment, by non-physician	31,960	$140	$4.4M
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…	19,290	$190	$3.7M
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…	5,710	$400	$2.3M
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…	9,530	$230	$2.2M
T1002	Rn services, up to 15 minutes	23,640	$50	$1.1M
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…	14,210	$70	$994.6K
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.	3,410	$230	$784.1K
H2017	Psychosocial rehabilitation services, per 15 minutes	8,160	$70	$547K

Showing 1–10 of 21

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 — 4 of 20 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	28	50	9,030	$60	$1.5M
H0040	Assertive community treatment program, per diem	2	10	8,070	$150	$1.2M
H0031	Mental health assessment, by non-physician	8	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…	8	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…	10	90	260	$430	$688.8K
T1002	Rn services, up to 15 minutes	14	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…	28	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…	18	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…	13	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…	344	2,770	210	$60	$254.5K

Showing 1–10 of 21

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	$61.9M
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	$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
Self Regional Healthcare	SC	General Acute Care Hospital	$0	$58.8M
Greenwood Genetic Center Lab	SC	Clinical Medical Laboratory	$0	$31.2M
Carolina Health Centers, Inc.	SC	Pediatrics Physician	$0	$20.2M
Self Medical Group	SC	Emergency Medicine Physician	$0	$6M
Carolina Health Centers, Inc.	SC	Federally Qualified Health Center (FQHC)	$0	$3.3M
Greenwood Treatment Specialists	SC	Methadone Clinic	$75.9K	$3.2M
Self Medical Group	SC	Pediatrics Physician	$0	$3.3M
Greenwood County Ems	SC	Ambulance	$905.9K	$2.2M
Taylor Mader	SC	Rheumatology Physician	$3.1M	$0
Greenwood Obstetrics & Gynecology PA	SC	Obstetrics & Gynecology Physician	$0	$2.7M

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