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 1831200310)

Field	Value
Entity Type	Organization
Organization	South Carolina Dept Of Mental Health Accounting Office
Address	1050 Ribaut Rd
City	Beaufort
State	SC
ZIP	29902
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$23.3M
Medicare	$0

Key Findings

This entity is effectively a single‑payer Medicaid provider: lifetime Medicaid revenue is $23.3M and there is no Medicare billing on file. The organization’s NPI was enumerated 2006-08-31 (~20 years ago), indicating long tenure in the market and an established Medicaid-focused operation.

Revenue is highly concentrated in a few services: the top three Medicaid codes account for 51.3% of total Medicaid revenue. Those top drivers are 90834 ($4.6M, 19.9%), H0031 ($3.9M, 16.8%), and 99214 ($3.4M, 14.6%), showing that a small group of outpatient psychotherapy and E&M codes produce the majority of billed dollars.

The code mix and volumes point to a psychotherapy‑centric community mental health model: high counts for 90834 (31.5K claims, $147 avg paid/claim, $4.6M) and substantial volume for 90837 (11.4K claims, $204 avg paid/claim, $2.3M) and 90832 (21.4K claims, $74 avg paid/claim, $1.6M) indicate routine delivery of individual psychotherapy across short, mid and long session lengths. Additional common codes such as 90846/90847 (family therapy) and 90853 (group psychotherapy) confirm a broad outpatient behavioral health service mix.

Clinical services extend beyond psychotherapy into diagnostic and medication management: 90792 (4.1K claims, $562 avg paid/claim, $2.3M) shows routine psychiatric evaluations, while T1002 (10.2K claims, $71 avg paid/claim, $724.6K) and multiple injectable medication codes (e.g., 96372: 14.5K claims, $4 avg paid/claim, $58K; J1631: 2.8K claims, $14 avg paid/claim, $39.3K) reflect active nursing/medication administration components supporting ongoing pharmacologic treatment. Presence of H2017 (psychosocial rehabilitation) and H2011 (crisis intervention) indicates ancillary rehabilitation and crisis capabilities.

Competitive standing within South Carolina is strong for several high‑volume codes: 90834 ranks #13 of 210 providers (94th percentile) and is flagged as notably above typical state volume, while 99214 ranks #85 of 2483 providers (97th percentile), signaling unusually high E&M throughput for the state. H0031 ranks #11 of 84 (88th percentile) but is described as typical volume for that code, suggesting high absolute scale without unusual per‑claim behavior for assessments. These rankings position the provider as a major statewide participant for psychotherapy and outpatient E&M services.

Several codes are statistical outliers versus in‑state peers in their usage intensity: 90834 (94th percentile), 90832 (rank #10 of 163, 94th percentile), 90847 (rank #18 of 241, 93rd percentile), and 96372 (rank #23 of 409, 95th percentile) are explicitly described as notably above typical state volume. These concentrated, high‑percentile usages highlight program areas where the provider is materially above peer norms and may define its market niche.

Operational implications from the mix include a workflow built around scheduled, longer psychotherapy and E&M encounters plus structured nursing/injection clinics. High counts for 90834, 90832, and 99214 combined with nursing codes (T1002) and injectable medication claims imply integrated teams delivering psychotherapy, medication management, and routine medication administration rather than episodic inpatient care. This blend is consistent with a community mental health center/clinic model focused on ongoing outpatient treatment.

For payer and utilization risk assessment: dependence on Medicaid ($23.3M) with no Medicare billing exposes the provider to Medicaid policy, rate and eligibility changes more than to Medicare shifts. The fact that 51.3% of Medicaid revenue is captured by the top three codes suggests revenue sensitivity to changes in reimbursement or utilization for those specific psychotherapy and E&M services, making those codes logical focal points for contract negotiations and utilization review.

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…	31,540	$150	$4.6M
H0031	Mental health assessment, by non-physician	26,400	$150	$3.9M
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…	17,590	$190	$3.4M
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…	11,400	$200	$2.3M
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…	4,080	$560	$2.3M
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…	8,270	$230	$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…	21,430	$70	$1.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	9,520	$90	$846.8K
T1002	Rn services, up to 15 minutes	10,210	$70	$724.6K
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.	2,210	$230	$514.2K

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 — 1 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	25	50	9,030	$60	$1.5M
H0031	Mental health assessment, by non-physician	11	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…	13	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…	16	90	260	$430	$688.8K
T1002	Rn services, up to 15 minutes	33	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…	55	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…	10	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…	18	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…	524	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…	85	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	$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
Beaufort County Memorial Hospital	SC	General Acute Care Hospital	$0	$35.9M
Beaufort Pediatrics, P.A.	SC	Rural Health Clinic/Center	$0	$5.3M
Acs Emergency Physicians Of Sc PC	SC	Emergency Medicine Physician	$0	$4.5M
Beaufort County School District	SC	Local Education Agency (LEA)	$0	$4.5M
County Council Of Beaufort County	SC	Land Ambulance	$1.9M	$1.8M
Sea Island Pediatrics	SC	Pediatrics Physician	$0	$3.2M
Beaufort Family Dentistry Vsm LLC	SC	General Practice Dentistry	$0	$1.7M
Mark Dean	SC	Sports Medicine (Orthopaedic Surgery) Physician	$883K	$0
Douglas Scott	SC	Orthopaedic Surgery Physician	$616.2K	$0
Walter Schuyler	SC	Pain Medicine Physician	$545.6K	$6K

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