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 1316904857)

Field	Value
Entity Type	Organization
Organization	South Carolina Dept Of Mental Health Accounting Office
Address	1135 Gregg Hwy
City	Aiken
State	SC
ZIP	29801
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	April 27, 2006

Payer Source	Total Paid
Medicaid	$19.9M
Medicare	$0

Key Findings

SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE reports no Medicare billing on file and $19.9M in lifetime Medicaid revenue, making its operations effectively single-payer (Medicaid)-focused in the available claims data. The absence of Medicare activity suggests its patient mix, service contracts, or billing focus is centered on Medicaid populations rather than Medicare beneficiaries.

Revenue is highly concentrated in a few service lines: the top three Medicaid codes (H0031, 90834, 90792) together account for 56.1% of the provider's total Medicaid revenue. That concentration indicates a business model driven primarily by non-physician mental health assessment, mid-length psychotherapy sessions, and psychiatric evaluations, which are the dominant revenue drivers.

The largest single code is H0031 (Mental health assessment, by non-physician): 36.9K claims generating $4.8M (24.0% of Medicaid revenue) and ranking #6 of 84 in-state (94th percentile). This high volume and strong state ranking indicate the provider is a major regional source for initial mental health assessments delivered by non-physician clinicians.

90834 (psychotherapy, 38–52 minutes) is also a top revenue generator with 27.6K claims and $3.9M (19.4% of Medicaid revenue), ranking #14 of 210 providers in-state (94th percentile). The combination of high-volume assessment (H0031) and high-volume mid-length psychotherapy (90834) suggests this site manages a steady outpatient psychotherapy caseload, likely including ongoing treatment episodes following initial assessments.

90792 (psychiatric evaluation with medical services) contributes $2.5M (12.7% of Medicaid revenue) from 5K claims and ranks #15 of 85 in-state (83rd percentile). Its presence as a top-three revenue code alongside non-physician assessment and psychotherapy implies a mixed clinician model where psychiatric diagnostic evaluations (likely by higher-level clinicians) feed into the broader therapy and care-management pathways.

Several ancillary and support services show notable volume or unusual state standing: H0038 (self-help/peer services) appears as $453.5K in revenue from 7.7K claims and ranks #2 of 36 providers in-state (97th percentile), described as notably above typical state volume. This suggests the provider emphasizes peer-support programming as a meaningful component of its service mix and may operate prominent peer/self-help offerings in the region.

Clinical E/M codes such as 99214 (8.9K claims, $1.8M, 8.9% of Medicaid revenue) and 99213 (2.3K claims, $236.1K, 1.2% of Medicaid revenue) are material contributors, indicating concurrent use of office-based evaluation and management visits alongside psychotherapy and assessment services. This combination points to integrated outpatient care where both psychotherapy and medical management are billed within the same service footprint.

Provider tenure is long-standing: the NPI was enumerated on 2006-04-27 (~20 years ago), indicating established operations and likely sustained relationships with state Medicaid programs. That longevity, combined with top-state percentile rankings on several codes, supports a position as an experienced, institutionally rooted behavioral health provider in South Carolina.

Competitive standing is mixed by code: for core assessment and psychotherapy codes the provider ranks in the upper state percentiles (e.g., H0031 and 90834 at the 94th percentile), marking it as a major state-level participant for those services, while for some medication-related administrations (e.g., J1631 and J2426) it ranks lower in-state, reflecting a more modest role in long‑acting injectable medication delivery relative to peers.

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0031	Mental health assessment, by non-physician	36,870	$130	$4.8M
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…	27,570	$140	$3.9M
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…	4,950	$510	$2.5M
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…	9,670	$210	$2M
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…	8,860	$200	$1.8M
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…	6,470	$230	$1.5M
T1002	Rn services, up to 15 minutes	16,500	$70	$1.1M
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.	3,920	$230	$906.2K
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…	6,480	$70	$459.9K
H0038	Self‑help/peer services, per 15 minutes	7,690	$60	$453.5K

Showing 1–10 of 18

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 — 1 of 17 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	40	50	9,030	$60	$1.5M
H0031	Mental health assessment, by non-physician	6	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…	14	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…	15	90	260	$430	$688.8K
T1002	Rn services, up to 15 minutes	21	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…	62	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…	25	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…	21	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…	587	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…	173	2,480	350	$80	$246K

Showing 1–10 of 18

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
Tri-development Center Of Aiken County, Inc.	SC	Cognitive & Behavioral Psychologist	$0	$39.6M
Aiken Regional Medical Centers LLC	SC	General Acute Care Hospital	$0	$31.5M
Sound Physicians Emergency Medicine Of South Carolina LLC	SC	Emergency Medicine Physician	$0	$14.2M
Regency Hospice Of Georgia, LLC	SC	Community Based Hospice Care Agency	$0	$12M
Rural Health Services, Inc	SC	Federally Qualified Health Center (FQHC)	$0	$10.3M
Children's Place, Inc	SC	Community/Behavioral Health Agency	$0	$6.8M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$6.6M
Aiken County	SC	Ambulance	$1.1M	$2.4M
Aiken Dental Associates	SC	General Practice Dentistry	$0	$3.3M
Aiken Regional Medical Centers LLC	SC	Pediatrics Physician	$0	$3.2M

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