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 1508814625)

Field	Value
Entity Type	Organization
Organization	South Carolina Dept Of Mental Health Accounting Office
Address	1 Linwa Blvd
City	Anderson
State	SC
ZIP	29621
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	May 4, 2006

Payer Source	Total Paid
Medicaid	$40.9M
Medicare	$0

Key Findings

SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE reports no Medicare billing on file and $40.9M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid) operation at scale. Its NPI was enumerated 2006-05-04 (~20 years ago), indicating long-tenured participation in public behavioral health programs.

Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top three Medicaid codes account for 48.2% of the provider’s total Medicaid revenue. Those top drivers are 90834 ($8.8M, 21.5%), 99214 ($6M, 14.8%), and H2017 ($4.9M, 11.9%), which together dominate nearly half of reported Medicaid receipts.

The code mix indicates a psychotherapy- and outpatient behavioral-health service line: high-volume psychotherapy codes (90834, 90837, 90832) and psychosocial rehabilitation (H2017) are primary revenue sources, while assessment and evaluation codes (H0031, 90792) point to substantial intake and care-planning activity. This combination suggests the provider operates as a high-throughput community mental health clinic offering both brief and extended psychotherapy, structured rehabilitation, and formal psychiatric evaluations.

Competitive standing within the state is strong on several flagship codes. 90834 (61.1K claims, $8.8M) ranks #4 of 210 providers in-state (99th percentile; extreme outlier), making the provider a dominant statewide performer for mid-length psychotherapy; 99214 (35.6K claims, $6M) ranks #29 of 2483 providers in-state (99th percentile; notably above typical state volume), signaling above-typical throughput for office-based E/M visits; H2017 (70.4K claims, $4.9M) ranks #4 of 51 (94th percentile; typical), indicating large but less exceptional volume for psychosocial rehab.

Operational intensity is evident in raw claim counts across multiple service types: 90834 has 61.1K claims, H2017 has 70.4K claims, 99214 has 35.6K claims, and T1002 nursing services has 33.2K claims. These volumes are consistent with a sizable community-focused mental health provider that delivers frequent, repeat outpatient services rather than low-frequency specialty procedures.

Payment mix and visit complexity are visible in the reported average paid amounts: 90834 averages $144 per claim, 99214 averages $170 per claim, H2017 averages $69 per claim, and 90792 averages $515 per claim. The relatively high average for 90792 (psychiatric evaluation) highlights concentrated reimbursement for initial/diagnostic assessments even though its claim count (7K) is lower than the core psychotherapy and rehab services.

Service breadth includes family and group modalities alongside individual therapy and crisis work, reinforcing a comprehensive community mental health role: 90847 (family with patient present) reports $2.6M, 90846 (family without patient) reports $873.9K, 90853 (group therapy) reports $340.2K, and H2011 (crisis intervention) reports $309.5K. This spread across modalities suggests capacity for multi-modal outpatient programming and supports cross-referral within behavioral health.

The provider’s Medicaid dependence and the fact that the top three codes represent 48.2% of Medicaid revenue create both strategic leverage and concentration exposure: any Medicaid policy, rate, or authorization changes affecting psychotherapy (90834), office E/M (99214), or psychosocial rehabilitation (H2017) would materially affect revenue. For payers and network analysts, this profile flags a major Medicaid outpatient mental health provider whose negotiation, utilization review, or program-design decisions will have outsized impact on service volumes and costs in-state.

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…	61,070	$140	$8.8M
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…	35,570	$170	$6M
H2017	Psychosocial rehabilitation services, per 15 minutes	70,430	$70	$4.9M
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…	24,810	$190	$4.7M
H0031	Mental health assessment, by non-physician	24,380	$170	$4.2M
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…	6,960	$520	$3.6M
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…	11,350	$230	$2.6M
T1002	Rn services, up to 15 minutes	33,150	$70	$2.2M
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…	20,330	$70	$1.5M
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.	3,830	$230	$873.9K

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 — 6 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	4	50	9,030	$60	$1.5M
H0031	Mental health assessment, by non-physician	13	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…	4	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…	4	90	260	$430	$688.8K
T1002	Rn services, up to 15 minutes	10	100	5,080	$60	$611.2K
S9482	Family stabilization services, per 15 minutes	16	20	1,180	$60	$538.2K
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…	17	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…	11	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…	8	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…	456	2,770	210	$60	$254.5K

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	$47.7M
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
Anmed Health	SC	General Acute Care Hospital	$0	$75.9M
Palmetto Seating And Mobility, Inc.	SC	Durable Medical Equipment & Medical Supplies	$0	$44.7M
Creston Dental-1, P.C.	SC	General Practice Dentistry	$0	$14.8M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$14.1M
Medshore Ambulance Service, LLC	SC	Ambulance	$6.4M	$7M
Bryant Pharmacy & Supply	SC	Durable Medical Equipment & Medical Supplies	$0	$11.4M
Labtech Diagnostic, LLC	SC	Clinical Medical Laboratory	$0	$10.7M
Anmed Health	SC	Pediatrics Physician	$0	$10.3M
Upstate Medical Staffing, Inc.	SC	In Home Supportive Care Agency	$0	$9.3M
Piedmont Childrens Clinic	SC	Pediatrics Physician	$0	$6.1M

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