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.

Mental Illness Recovery Center (NPI 1194047563)

Field	Value
Entity Type	Organization
Organization	Mental Illness Recovery Center
Address	3809 Rosewood Dr
City	Columbia
State	SC
ZIP	29205
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 25, 2010

Payer Source	Total Paid
Medicaid	$6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0040	Assertive community treatment program, per diem	16,070	$150	$2.4M
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…	7,430	$150	$1.1M
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…	10,030	$100	$1M
H2030	Mental health clubhouse services, per 15 minutes	7,510	$70	$517.9K
H2017	Psychosocial rehabilitation services, per 15 minutes	21,140	$20	$443.9K
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…	4,350	$40	$152.1K
99367	A physician joins a medical team in a meeting to discuss a treatment plan for a patient who requires attention from more than one medical specialty.	2,740	$40	$106.9K
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…	1,330	$70	$92K
H0034	Medication training and support, per 15 minutes	7,340	$10	$73.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	390	$140	$52.5K

Showing 1–10 of 13

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

Mental Illness Recovery Center — 3 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2030	Mental health clubhouse services, per 15 minutes	5	10	34,430	$90	$3.4M
H2017	Psychosocial rehabilitation services, per 15 minutes	17	50	9,030	$60	$1.5M
H0040	Assertive community treatment program, per diem	1	10	8,070	$150	$1.2M
H0031	Mental health assessment, by non-physician	43	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…	57	210	320	$130	$707.4K
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…	60	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…	27	160	270	$70	$268.1K
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…	281	2,770	210	$60	$254.5K
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…	13	60	520	$70	$182.7K
H2011	Crisis intervention service, per 15 minutes	23	40	730	$120	$160.5K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Mental Illness Recovery Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Midlands Neurology & Pain Assoc, P.A	SC	Interventional Pain Medicine Physician	$0	$2.5M
Aneta Hopkins	SC	Professional Counselor	$0	$2.3M
Eleanya Ogburu-ogbonnaya	SC	Neurology Physician	$244.2K	$297.5K
James Floyd	SC	Physical Therapist	$326.3K	$0
South Carolina Cvs Pharmacy LLC	SC	Pharmacy	$232.5K	$0
Tab Thompson	SC	Otology & Neurotology Physician	$180.1K	$0
Anna Bouknight	SC	Otolaryngology Physician	$160.4K	$0
David Matthews	SC	Optometrist	$87.3K	$0
Cynthia Martinez	SC	Family Nurse Practitioner	$77.5K	$0
John Shires	SC	Physician Assistant	$18.7K	$0

Mental Illness Recovery Center — Billing Profile & Reimbursement Data

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Mental Illness Recovery Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References