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 1164457735)

Field	Value
Entity Type	Organization
Organization	South Carolina Dept Of Mental Health Accounting Office
Address	2319 St Matthews Road
City	Orangeburg
State	SC
ZIP	29118
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicaid	$20.7M
Medicare	$0

Key Findings

This entity is effectively single-payer Medicaid: there is no Medicare billing on file and all lifetime reported federal revenue is from Medicaid, totaling $20.7M. The absence of Medicare activity suggests its clinical footprint and reimbursement relationships are concentrated in state behavioral health programs rather than traditional Medicare networks.

Revenue is highly concentrated in a small number of outpatient behavioral-health services: the precomputed top three Medicaid codes account for 53.5% of the provider’s Medicaid revenue, with the single largest code 90834 generating $4M (19.2% of Medicaid revenue). This concentration indicates that a majority of billing is driven by a narrow set of psychotherapy and assessment services.

The code mix points to an outpatient mental-health clinic model focused on psychotherapy and non-physician assessment: high volumes and revenue for 90834 ($4M), 90837 ($3.3M), and H0031 ($3.8M) show sustained delivery of individual psychotherapy across multiple session lengths and formal mental health assessments by non-physicians. Complementary codes such as 90846/90847 (family therapy) and 99214/99213 (E/M visits) imply integrated care with both therapeutic and medical management components.

Competitive standing is mixed by service line: the provider ranks in the 95th percentile for 90837 (ranks #32 of 647; described as notably above typical state volume) and in the 98th percentile for 99366 (ranks #2 of 43; described as notably above typical state volume), indicating it is a major statewide player for long psychotherapy sessions and multidisciplinary team meetings. Conversely, several high-revenue codes (90834 and H0031) are described as typical, unremarkable volume despite large absolute dollars, so the provider is not uniformly dominant across all common outpatient mental-health codes.

Several specialized service lines stand out as statistical outliers in the state: 90846 (ranks #9 of 147, 95th percentile) and 90847 (ranks #19 of 241, 93rd percentile) are both described as notably above typical state volume, signaling above-average provision of family therapy relative to peers. Likewise, 96372 (ranks #24 of 409, 94th percentile) and 99366 (ranks #2 of 43, 98th percentile) are labeled notably above typical state volume, pointing to substantial use of procedural injections and interdisciplinary care conferences respectively.

At the same time, several commonly billed services are recorded at expected statewide levels: 90834 (ranks #15 of 210, 93th percentile) and H0031 (ranks #15 of 84, 83th percentile) are both described as typical, unremarkable volume for those codes, and 99214 (ranks #92 of 2483, 96th percentile) is likewise described as typical, unremarkable volume despite being a large revenue source. This suggests the provider’s high absolute volumes for routine psychotherapy and E/M are in line with established community mental-health centers.

The provider also maintains material activity in medication-related and nursing services, with J1631 (4.7K claims, $75.8K revenue) and T1002 (6.3K claims, $269K revenue) present on the ledger and 96372 showing notably above typical state volume. These entries are consistent with on-site medication management and nursing support capacity commonly required in community mental-health clinic operations.

The organization has long-standing participation in the Medicaid system, with its NPI enumerated 2006-07-12 (~20 years ago). That tenure, combined with concentrated Medicaid revenue and above-typical statewide rankings on several behavioral-health codes, indicates an established, regionally significant provider of outpatient mental-health services in South Carolina.

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…	26,830	$150	$4M
H0031	Mental health assessment, by non-physician	22,750	$170	$3.8M
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…	17,040	$200	$3.3M
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…	16,560	$170	$2.8M
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…	7,690	$230	$1.8M
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…	3,020	$480	$1.4M
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.	4,990	$230	$1.2M
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…	12,200	$70	$878.2K
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…	5,460	$90	$475K
99366	A medical team discusses a treatment plan in a meeting with a patient who requires attention from more than one medical specialty.	5,250	$80	$399.2K

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 — 3 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	39	50	9,030	$60	$1.5M
H0031	Mental health assessment, by non-physician	15	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…	15	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…	18	90	260	$430	$688.8K
T1002	Rn services, up to 15 minutes	47	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…	32	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…	21	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…	19	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…	350	2,770	210	$60	$254.5K
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…	92	2,480	350	$80	$246K

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	$29.1M

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
The Regional Medical Center Of Orangeburg And Calhoun Counties	SC	General Acute Care Hospital	$0	$25.7M
Medical University Hospital Authority	SC	General Acute Care Hospital	$0	$8.7M
Orangeburg County School District	SC	Local Education Agency (LEA)	$0	$6.4M
County Of Orangeburg	SC	Land Ambulance	$819.8K	$2.5M
New Beginnings Diabetic & Homecare Services, Inc	SC	Nursing Care Agency	$0	$2.9M
Duane Hogue	SC	Family Nurse Practitioner	$708.8K	$0
Mohammed Abdulfatah	SC	Rheumatology Physician	$639.3K	$0
Alberto Gonzalez	SC	Psychiatry Physician	$26.4K	$398.5K
Marlene Workman	SC	Physical Therapist	$388K	$0
John Samies	SC	Infectious Disease Physician	$318.3K	$0

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