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 1205925567)

Field	Value
Entity Type	Organization
Organization	South Carolina Dept Of Mental Health Accounting Office
Address	125 E Cheves St
City	Florence
State	SC
ZIP	29506
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	October 12, 2006

Payer Source	Total Paid
Medicaid	$47.7M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused operation: there is no Medicare billing on file while total Medicaid revenue is $47.7M, indicating a single-payer concentration in public behavioral health funding rather than a mixed Medicare/Medicaid practice profile. The NPI was enumerated 2006-10-12 (~20 years ago), so this is an established entity with long tenure in the market.

Revenue concentration is high: the precomputed top 3 Medicaid codes account for 55.6% of the provider’s total Medicaid revenue, with 90834 alone generating $12.4M (26.1% of Medicaid revenue), H0031 producing $8.7M (18.2%), and 99214 contributing $5.4M (11.3%). This concentration signals that a small set of outpatient psychotherapy and non-physician assessment services drive the majority of billings.

The procedural mix indicates a core behavioral health/psychotherapy service line typical of a community mental health center: large volumes in psychotherapy codes 90834 (84.6K claims), 90837 (29.3K claims), and 90832 (18.4K claims) show sustained one-on-one therapy delivery across brief, standard, and extended sessions, while family therapy codes 90847 (16.3K claims) and 90846 (8.1K claims) show family-involved treatment is also a material part of care. These patterns are consistent with ongoing outpatient psychotherapy and care coordination rather than episodic medical-surgical care.

The provider is a statewide volume leader on multiple codes: 90834 ranks #3 of 210 in-state (99th percentile; extreme outlier), H0031 ranks #3 of 84 (98th percentile; extreme outlier), 90837 ranks #11 of 647 (98th percentile; extreme outlier), and 90847 ranks #5 of 241 (98th percentile; extreme outlier). These rank/percentile positions indicate the organization is a dominant Medicaid provider of psychotherapy and non-physician mental health assessment services in South Carolina.

In addition to psychotherapy dominance, the provider reports very high utilization of ancillary behavioral-health services that support ongoing community care: H2017 psychosocial rehabilitation shows 34.5K claims and $1.4M revenue, T1002 RN services shows 26.7K claims and $1.3M revenue, and H0038 self-help/peer services shows 11.1K claims and $566.3K revenue (H0038 ranks #1 of 36, 100th percentile; extreme outlier). This mix suggests integrated psychosocial rehabilitation, nursing, and peer-support capacity alongside therapy and assessment.

Medication administration and injection activity is also notable: 96372 has 29.7K claims ($89.1K revenue) and ranks #5 of 409 in-state (99th percentile; extreme outlier), while long-acting injectable antipsychotic codes such as J1631 and J2426 appear with material volumes ($182.6K and $176.6K respectively) and high in-state ranks. These volumes imply substantial onsite medication administration capacity to support community-based psychiatric treatment.

Although the provider is dominant on several behavioral-health codes, some common E/M and evaluation codes are handled at high but less extreme ranks: 99214 accounts for $5.4M (11.3% of Medicaid revenue) and ranks #36 of 2483 in-state (99th percentile; notably above typical state volume), while 99213 appears at more modest total revenue ($714.9K) and rank positions. This suggests the clinic pairs psychotherapy-dominant workflows with substantial mid-level E/M visits for established patients.

The overall profile—large claim volumes across psychotherapy (90834, 90837, 90832), family therapy (90847/90846), high-ranking non-physician assessment (H0031), prominent psychosocial and peer-support codes (H2017, H0038), and concentrated revenue with the top three codes totaling 55.6%—is consistent with a community mental health center that operates at scale in the state Medicaid market and focuses on outpatient, multidisciplinary behavioral-health services rather than Medicare-covered geriatric or medically complex service lines.

Medicaid: Complete Services Breakdown

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

24 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…	84,560	$150	$12.4M
H0031	Mental health assessment, by non-physician	59,170	$150	$8.7M
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…	29,010	$190	$5.4M
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…	29,280	$180	$5.3M
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…	16,260	$230	$3.8M
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…	5,240	$590	$3.1M
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.	8,090	$230	$1.9M
H2017	Psychosocial rehabilitation services, per 15 minutes	34,480	$40	$1.4M
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…	18,360	$70	$1.3M
T1002	Rn services, up to 15 minutes	26,660	$50	$1.3M

Showing 1–10 of 24

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 — 10 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	11	50	9,030	$60	$1.5M
H0031	Mental health assessment, by non-physician	3	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…	3	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…	14	90	260	$430	$688.8K
T1002	Rn services, up to 15 minutes	13	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…	11	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…	13	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…	5	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…	273	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…	36	2,480	350	$80	$246K

Showing 1–10 of 24

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	$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
Mcleod Regional Medical Center Of The Pee Dee, Inc.	SC	General Acute Care Hospital	$0	$90.9M
Florence County Disabilities And Special Needs Board	SC	Early Intervention Provider Agency	$0	$28.3M
Mcleod Physician Associates Ii	SC	Pediatrics Physician	$0	$13.1M
Mcleod Regional Medical Center Of The Pee Dee, Inc	SC	Emergency Medical Services (Emergency Medicine) Physician	$0	$12.7M
Allergy Asthma Sinus Ctr	SC	Allergy & Immunology Physician	$0	$8.2M
County Of Florence	SC	Land Ambulance	$2M	$4.5M
Mcleod Physician Associates Ii	SC	Obstetrics & Gynecology Physician	$0	$6.4M
Florence School District One	SC	Local Education Agency (LEA)	$0	$6.3M
Tucker-wells Medical, Inc.	SC	Durable Medical Equipment & Medical Supplies	$0	$5.8M
Mcleod Regional Medical Center Of The Pee Dee, Inc.	SC	Community Based Hospice Care Agency	$0	$5.7M

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