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 1508811324)

Field	Value
Entity Type	Organization
Organization	South Carolina Dept Of Mental Health Accounting Office
Address	403 Stoney Landing Rd
City	Moncks Corner
State	SC
ZIP	29461
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicaid	$20.6M
Medicare	$0

Key Findings

This provider is effectively single-payer in Medicare/Medicaid mix: there is no Medicare billing on file and total Medicaid revenue is $20.6M, so Medicaid drives the entity’s financial footprint. The NPI was enumerated on 2006-05-23 (~20 years ago), indicating a long-tenured presence in the market rather than a recent entrant.

Revenue is highly concentrated in a small set of psychotherapy codes: the precomputed top three Medicaid codes (90834, 90837, 90847) account for 53.3% of the provider’s Medicaid revenue. Specifically, 90834 generated $6M (28.9% of Medicaid revenue), 90837 generated $2.7M (13.1%), and 90847 generated $2.3M (11.3%), indicating that a majority of Medicaid dollars come from individual and family psychotherapy services.

The code mix indicates a operations model centered on psychotherapy and outpatient behavioral health care: high volumes and revenue for 90834 (40.9K claims, $146 avg paid/claim), 90837 (13.5K claims, $200 avg paid/claim), and 90832 (16.5K claims, $72 avg paid/claim) show a heavy emphasis on time-based psychotherapy sessions of varying lengths. Complementary services include mental health assessment (H0031: 11.5K claims, $185 avg paid/claim) and psychiatric evaluation (90792: 3.6K claims, $535 avg paid/claim), which together point to an intake/diagnostic workflow feeding ongoing therapy.

The provider is a major statewide participant for certain psychotherapy and family therapy codes: 90834 ranks #11 of 210 in-state (95th percentile; notably above typical state volume) and 90847 ranks #12 of 241 (95th percentile; notably above typical state volume), signaling above-typical market share for those services in South Carolina. Other high-volume codes like 90837 (rank #44 of 647, 93th percentile; typical, unremarkable volume) and 90832 (rank #14 of 163, 92th percentile; typical, unremarkable volume) show it is also a sizable but more typical participant on additional psychotherapy measures.

Evaluation and management activity is significant and contributes meaningfully to revenue: 99214 produced $2.1M (10.2% of Medicaid revenue) with 11.9K claims at $177 avg paid/claim and 99215 added $215.9K (1.0%); 99214’s rank (#122 of 2483, 95th percentile; typical, unremarkable volume) demonstrates substantial outpatient E/M volume relative to peers and supports the conclusion that the provider delivers routine medical management alongside psychotherapy.

Service breadth extends beyond one-on-one therapy into family work, group services, nursing, and crisis support: family therapy without and with the patient present (90846 $830.8K and 90847 $2.3M), group psychotherapy (90853 $69.4K), RN services T1002 ($831K), and crisis intervention H2011 ($195.7K) indicate a multi-modal outpatient behavioral health program offering assessments, individual and family psychotherapy, nursing, and crisis services under Medicaid.

Payment-per-encounter patterns show a mix of higher-intensity diagnostic visits and lower-paid time-based therapy: 90792 has a high average at $535 avg paid/claim while routine psychotherapy averages are lower (90834 $146 avg paid/claim, 90837 $200 avg paid/claim, 90832 $72 avg paid/claim). This split suggests the provider bills both episodic, higher-value psychiatric evaluations and steady-volume psychotherapy encounters, consistent with a clinic that conducts formal evaluations and sustained outpatient therapy.

Operational scale is reflected in large claim counts for time-based psychotherapy, supporting capacity for sustained outpatient caseloads: 40.9K claims for 90834, 16.5K for 90832, and 13.5K for 90837 are consistent with a high-throughput community mental health model rather than a low-volume specialty practice. Coupled with long tenure (NPI enumerated 2006-05-23 (~20 years ago)), these volumes indicate an established service footprint within the state Medicaid behavioral health network.

Medicaid: Complete Services Breakdown

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

19 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…	40,940	$150	$6M
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…	13,490	$200	$2.7M
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…	10,330	$230	$2.3M
H0031	Mental health assessment, by non-physician	11,530	$190	$2.1M
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…	11,910	$180	$2.1M
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…	3,630	$540	$1.9M
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…	16,480	$70	$1.2M
T1002	Rn services, up to 15 minutes	13,620	$60	$831K
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.	3,680	$230	$830.8K
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…	750	$290	$215.9K

Showing 1–10 of 19

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 18 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	48	50	9,030	$60	$1.5M
H0031	Mental health assessment, by non-physician	17	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…	11	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…	17	90	260	$430	$688.8K
T1002	Rn services, up to 15 minutes	27	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…	44	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…	14	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…	12	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…	1,070	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…	122	2,480	350	$80	$246K

Showing 1–10 of 19

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
Berkeley Citizens Inc	SC	Early Intervention Provider Agency	$0	$27.1M
Berkeley County School District	SC	Local Education Agency (LEA)	$0	$12.7M
Berkeley County Ems	SC	Land Ambulance	$1.3M	$2.3M
Lakeside Family Center	SC	Mental Health Counselor	$0	$2.9M
Delta Pharmacy Inc	SC	Community/Retail Pharmacy	$46.1K	$1.9M
Vantage Speech & Language LLC	SC	Speech-Language Pathologist	$0	$1.6M
Jeffrey Santi	SC	Family Medicine Physician	$283.4K	$0
Jeremy Ackermann	SC	Family Medicine Physician	$282.9K	$0
John Flaugher	SC	Family Medicine Physician	$266.5K	$0
Nathan Averill	SC	Family Medicine Physician	$147.1K	$2.9K

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