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 1356397228)

Field	Value
Entity Type	Organization
Organization	South Carolina Dept Of Mental Health Accounting Office
Address	164 Waccamaw Medical Park Dr
City	Conway
State	SC
ZIP	29526
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	May 25, 2006

Payer Source	Total Paid
Medicaid	$40.5M
Medicare	$0

Key Findings

SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE is effectively a Medicaid-focused provider with no Medicare billing on file; lifetime Medicaid revenue totals $40.5M and there is explicitly no Medicare revenue reported, indicating near-exclusive reliance on Medicaid reimbursement streams for its payer mix and financial footprint. This single-payer concentration has implications for strategic risk and contracting leverage, since the provider’s volume and revenue are tied almost entirely to state Medicaid policies and rates.

Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top three Medicaid codes account for 53.7% of the provider’s total Medicaid revenue. That concentration suggests a business model built around a narrow set of high-volume or higher-paid behavioral health services rather than a broad diversification across many service lines.

The largest single revenue source is H0031 (mental health assessment, by non-physician) with $8.8M in Medicaid revenue representing 21.8% of the provider’s Medicaid total; the provider ranks #4 of 84 in-state and is labeled an extreme outlier, indicating it is a major hub for non-physician mental health assessments relative to peer organizations in South Carolina. High volume in H0031 implies substantial intake, care coordination, or screening activity performed by non-physician clinicians as a core operational function.

Psychotherapy codes are a second major service line: 90834 ($7.5M, 18.4% of Medicaid revenue) and 90837 ($5.1M, 12.7% of Medicaid revenue) together represent a large share of revenue and rank the provider well above typical state volume for these codes (90834 at the 98th percentile, 90837 an extreme outlier). This pattern indicates a sustained focus on individual psychotherapy delivered in both standard and extended-session formats, supporting a clinical profile centered on ongoing outpatient therapy.

Evaluation and management codes also contribute meaningfully to revenue: 99214 accounts for $5.4M (13.4% of Medicaid revenue) and 99215 contributes $1.4M (3.5%). The provider’s 99214 volume ranks in the 98th percentile statewide but at #50 of 2483 providers, which reads as typical high-volume E/M activity for a large outpatient mental health clinic that combines psychotherapeutic care with medical decision-making and longer visit times. This E/M footprint suggests integrated behavioral health workflows where clinicians document moderate-to-high complexity encounters.

Multiple ancillary and programmatic service codes appear at elevated state ranks and reinforce the organization’s role as a comprehensive behavioral health center: T1002 nursing services (49.9K claims, $2.8M) ranks #5 of 102 (96th percentile) and 90792 psychiatric diagnostic evaluation ($3.7M) ranks #5 of 85 (95th percentile). These positions reflect notable in-state volume for nursing-driven services and psychiatric evaluations, consistent with a community mental health center model that combines assessment, medication-related care, and nursing interventions.

Several codes are statistical outliers in state comparisons, flagging where this provider is a dominant supplier: H0031 is an extreme outlier (96th percentile), 90837 is an extreme outlier (98th percentile), and 96372 injection administration shows extreme outlier volume (99th percentile) despite low dollar impact. These outlier labels indicate unusually high operational throughput for specific activities relative to peers and may reflect centralized service lines (e.g., mass assessments, frequent psychotherapy sessions, high-frequency medication administration clinics).

Tenure data show the NPI was enumerated on 2006-05-25 (roughly 20 years ago), indicating long-standing presence in the market. This multi-decade enumeration supports interpretations of established referral networks and operational scale that align with the high state ranks and the sizable $40.5M lifetime Medicaid revenue figure.

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0031	Mental health assessment, by non-physician	56,960	$160	$8.8M
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…	49,780	$150	$7.5M
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…	24,950	$220	$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…	26,250	$200	$5.1M
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…	6,560	$560	$3.7M
T1002	Rn services, up to 15 minutes	49,930	$60	$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…	6,260	$240	$1.5M
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	4,550	$310	$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…	15,400	$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.	4,140	$240	$980.7K

Showing 1–10 of 25

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 — 9 of 23 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	20	50	9,030	$60	$1.5M
H0031	Mental health assessment, by non-physician	4	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…	6	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…	5	90	260	$430	$688.8K
T1002	Rn services, up to 15 minutes	5	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…	13	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…	16	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…	22	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…	401	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…	50	2,480	350	$80	$246K

Showing 1–10 of 25

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	$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
Horry County Disabilities & Special Needs Board	SC	Developmentally Disabled Services Day Training Agency	$0	$25.7M
Conway Hospital, Inc.	SC	General Acute Care Hospital	$0	$20.2M
Health Care Partners Of South Carolina, Inc.	SC	Federally Qualified Health Center (FQHC)	$0	$10.7M
Carolina Radiology Associates LLC	SC	Diagnostic Radiology Physician	$0	$9.2M
Horry County Government	SC	Land Ambulance	$4M	$4.4M
Conway Hospital Emergency Professional Services	SC	Emergency Medicine Physician	$0	$6.1M
Coastal Pediatrics	SC	Primary Care Clinic/Center	$0	$5.1M
Carolina Care Medical Supply LLC	SC	Durable Medical Equipment & Medical Supplies	$0	$4.9M
Nicholas Marchase	SC	Ophthalmology Physician	$4.1M	$306.4K
Horry County Comm On Alcohol & Drug Abuse	SC	Community/Behavioral Health Agency	$0	$4.2M

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