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 1760596480)

Field	Value
Entity Type	Organization
Organization	South Carolina Dept Of Mental Health Accounting Office
Address	2100 Charlie Hall Blvd
City	Charleston
State	SC
ZIP	29414
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	August 19, 2006
NPI Deactivated	June 12, 2024

Payer Source	Total Paid
Medicaid	$65.9M
Medicare	$0

Key Findings

This provider is effectively single‑payer in scope: there is no Medicare billing on file, while lifetime Medicaid revenue is $65.9M, indicating the operation is overwhelmingly Medicaid-funded and dependent on state program volume. The absence of Medicare activity means payer strategy and risk are concentrated on Medicaid reimbursement and eligibility streams.

Revenue is highly concentrated in a small set of behavioral-health codes: the precomputed top 3 Medicaid codes by revenue account for 61.6% of this provider's total Medicaid revenue, driven mainly by 90834 ($18.6M, 28.3%), 90837 ($11.5M, 17.5%), and H0031 ($10.4M, 15.8%). This concentration signals that outpatient psychotherapy and non‑physician mental health assessment are the core revenue drivers.

The CPT/HCPCS mix indicates a high‑volume outpatient psychotherapy and assessment operation: leading codes include 90834 (126K claims), 90837 (56.5K claims), 90832 (39.7K claims), and H0031 (66.7K claims), augmented by E/M visits such as 99214 (39.7K claims, $7.5M). The presence of prolonged psychotherapy (90837), standard psychotherapy (90834, 90832), family therapy (90847/90846) and psychiatric evaluation codes (90792) points to comprehensive clinic‑level behavioral health services rather than isolated specialty encounters.

The provider is a dominant statewide player for core mental‑health services: 90834 ranks #1 of 210 providers in‑state (100th percentile; extreme outlier), 90837 ranks #2 of 647 (100th percentile; extreme outlier), and H0031 ranks #2 of 84 (99th percentile; extreme outlier). Additional high rankings — for example 99366 ranks #1 of 43 (100th percentile) and 90847 ranks #2 of 241 (100th percentile) — reinforce that this entity operates at far higher-than‑typical state volume for multiple behavioral‑health codes.

Operational throughput is substantial: examples include 126K claims for 90834, 66.7K claims for H0031, and 39.7K claims each for 99214 and 90832, reflecting a sustained, large outpatient caseload and repeated patient encounters. Those claim volumes imply capacity for high visit frequency and broad service access across psychotherapy, assessment, and E/M services.

The service mix extends beyond talk therapy to include nursing and medication support, crisis intervention, and peer services: T1002 has 30.5K claims, 96372 has 25.8K claims, H2011 has 6K claims, and H0038 has 1.9K claims. This pattern suggests integrated, wraparound behavioral‑health care with medication administration and nursing touchpoints alongside psychotherapy and assessments.

Revenue generation is shaped by wide variation in unit payments: higher‑unit codes such as 90792 average $537 paid/claim and produced $3.5M, while very high‑volume procedural codes like 96372 average $3 paid/claim and produced $77.4K despite 25.8K claims. Analysts should note that large claim counts do not necessarily translate into proportional revenue due to substantial differences in average paid per claim across codes.

The provider has long tenure in federal enrollment, with NPI enumerated on 2006-08-19 (~20 years ago), which combined with its extreme outlier rankings for key psychotherapy and assessment codes suggests an established, institutional role in South Carolina’s public mental health delivery network. Continued dominance on core codes makes this entity a strategic provider to monitor for Medicaid program planning and network capacity assessments.

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…	125,980	$150	$18.6M
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…	56,490	$200	$11.5M
H0031	Mental health assessment, by non-physician	66,690	$160	$10.4M
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…	39,710	$190	$7.5M
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…	18,880	$230	$4.3M
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…	6,510	$540	$3.5M
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…	39,690	$70	$2.9M
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.	9,400	$230	$2.2M
T1002	Rn services, up to 15 minutes	30,510	$50	$1.6M
H2011	Crisis intervention service, per 15 minutes	5,970	$150	$884K

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 — 11 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	38	50	9,030	$60	$1.5M
H0031	Mental health assessment, by non-physician	2	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…	1	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…	6	90	260	$430	$688.8K
T1002	Rn services, up to 15 minutes	11	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…	2	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…	3	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…	2	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…	355	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…	26	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	$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
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
Bon Secours St. Francis Xavier Hospital Inc.	SC	General Acute Care Hospital	$0	$35.9M
Coastal Pediatric Associates, P.A.	SC	Pediatrics Physician	$0	$25M
Eric Jablon	SC	Ophthalmology Physician	$8.9M	$0
Charleston Ent Associates, LLC	SC	Otolaryngology Physician	$0	$7.1M
John Kerrison	SC	Ophthalmology Physician	$5M	$0
Charleston Neurosciences Institute	SC	Ophthalmology Physician	$0	$4.2M
Physicians Eye Surgery Center LLC	SC	Ambulatory Surgical Clinic/Center	$3.9M	$70.1K
Daniel Alfaro	SC	Ophthalmology Physician	$3.6M	$0
Michael Johnson	SC	Ophthalmology Physician	$3M	$0
Bon Secours St Francis Xavier Hospital, Inc.	SC	Emergency Medicine Physician	$0	$2.3M

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